Atypical Second Trimester Uterine Rupture in a Patient with Bicornuate Uterus: A Case Study of Misdiagnosed Ectopic Pregnancy and Its Management

Authors

  • Bimal Banstola Dhaulagiri Hospital, Baglung, Nepal.
  • Amit Dhungana Dhaulagiri Hospital, Baglung, Nepal.
  • Surendra Acharya Dhaulagiri Hospital, Baglung, Nepal.
  • Bijay Ojha Dhaulagiri Hospital, Baglung, Nepal.
  • Rupa KC Pokhara Nursing Campus, Pokhara, Nepal.

Abstract

Introduction: Müllerian duct anomalies, such as the bicornuate uterus (BU), occur in 0.1% to 3% of women and can lead to serious complications, including uterine rupture.

Case Presentation: A 51-year-old multiparous woman presented with abdominal pain and vomiting, misdiagnosed as a ruptured ectopic pregnancy. Imaging revealed massive hemo-peritoneum. Laparotomy found a dead fetus in an intact sac and a ruptured left rudimentary horn of a BU. An obstetric hysterectomy and bilateral salpingo-oophorectomy were performed.

Conclusion: This case highlights the need for increased awareness of uterine anomalies and routine screening in antenatal care to improve maternal outcomes

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Published

2025-08-16

Issue

Vol. 8 No. 1 (2025)

Section

Case Reports

License

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