Journal of Women’s Health and Reproductive Medicine is an interdisciplinary journal that explores clinical, medical, social and economic aspects of female reproductive health and medication. It is committed to sharing the information for meeting the challenges of providing optimal health care for women throughout their lifespan and in diverse communities.

Spontaneous Uterine Rupture in Primigravida Secondary to a Term Ruptured Rudimentary Horn Pregnancy which is a case report authored by Jenenu Getu. Pregnancies occupying the rudimentary horns of anomalous uteri are uncommon forms of ectopic gestation and occur in 1 in 76,000 pregnancies. It occurs through the trans-peritoneal migration of the spermatozoon or the trans-peritoneal migration of the fertilized ovum. 70–90% rupture before 20 weeks and can be catastrophic. It is very rare to reach a full term for a rudimentary horn pregnancy, though some literature shows 10% pregnancy reaches full term and fetal survival rate was 2%. Despite advances in ultrasound and other diagnostic modalities, prenatal diagnosis remains elusive, with the confirmatory diagnosis being laparotomy. The diagnosis can be missed in ultrasound especially in inexperienced hands. Here we report a full-term rudimentary horn pregnancy in 20 years primigravida lady which was retained for about a month after rupture and presented with peritonitis and anemia. The patient was managed with emergency laparotomy and the ruptured and infected rudimentary horn excised with its tube and ovary. The woman survived and discharged in good condition. There is a need for an increased awareness of this condition especially in developing countries among health professionals. Especially in a spontaneous uterine rupture in primigravida as in our case rudimentary horn pregnancy should be suspected.

Rudimentary horn pregnancy in most cases is associated with a severe catastrophe. These are often incidentally diagnosed. Despite advances in ultrasound and other diagnostic modalities, prenatal diagnosis remains elusive, with the confirmatory diagnosis being laparotomy. The diagnosis can be missed in ultrasound especially in inexperienced hands. The quality of ANC followup in health centers and health posts should be improved and the detection of complications and early referral should be strengthening. There is a need for an increased awareness of this condition especially in developing countries among health professionals. Especially in a spontaneous uterine rupture in primigravida as in our case rudimentary horn pregnancy should be suspected. Basic ultrasound training should be provided for emergency surgical officers and general practitioners and primary hospitals should be equipped with adequate laboratory and diagnostic modalities. Timely resuscitation, surgery, and blood transfusion are needed to save the patient.

Journal of Women’s Health and Reproductive Medicine warmly invited to submit their articles for the journal upcoming issue directly to the online submission.

Regards,
Robert John
Editorial Manager
Journal of Womens Health and Reproductive Medicine