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Tropical Journal of Obstetrics and Gynaecology

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Failed induction in a rudimentary horn of uterus with sacculation: A case report

OA Roberts, AA Ifemeje

Abstract


Pregnancy in a non-communicating horn of the uterus, though rare should always be suspected in cases of failed ripening/induction of labour. This case revealed the significant morbidity that such patients may go through in vain attempts to deliver them vaginally. Despite the repeat Ultrasound scan and Doppler interrogation, the fact that the foetus was in a blind uterine horn was missed. This can be avoided by using Magnetic Resonance Imaging (MRI). She eventually had lower segment caesarean section (LSCS) and later
re-exploration, perforation of uterine septum due to clot retention as well as massive blood transfusion before she could recover fully.



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