eThekwini Forensic Pathology Services, KwaZulu-Natal Department of Health, Durban, South Africa.
Department of Forensic Medicine, School of Laboratory Medicine and Medical Sciences, College of Health Sciences, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
Forensic Sci Med Pathol. 2023 Sep;19(3):382-387. doi: 10.1007/s12024-022-00504-2. Epub 2022 Jul 25.
Pregnancy on a rudimentary uterine horn is a rare condition that can lead to a catastrophic outcome when it ruptures. The majority of cases are diagnosed late, after the rupture has occurred. We present the case of a 29-year-old female G2 P1 who complained of abdominal pain. She consulted a medical practitioner who prescribed her analgesics. In the next day, she was found dead in her bedroom. The pregnancy was undiagnosed as she was not aware that she was in a gravid state. At autopsy, there was massive haemoperitoneum and a 24-week gestation foetus lying outside the uterus. The uterus revealed an anomaly in keeping with a non- communicating rudimentary horn. Forensic pathologists do encounter undiagnosed ectopic pregnancies in practice. However, abdominal ectopic pregnancy with a uterine anomaly remains uncommon. These cases are often associated with a high maternal and foetal mortality.
残角子宫妊娠是一种罕见的情况，当它破裂时可能会导致灾难性的后果。大多数病例在破裂发生后才被诊断出来。我们报告了一例 29 岁的 G2P1 女性，她主诉腹痛。她咨询了一位医生，医生给她开了止痛药。第二天，她被发现死在卧室里。由于她不知道自己怀孕了，所以这次妊娠没有被诊断出来。尸检时发现大量血腹和一个 24 周大的胎儿位于子宫外。子宫显示出与非交通性残角子宫一致的异常。法医病理学家在实践中确实会遇到未被诊断出的宫外孕。然而，伴有子宫异常的腹部宫外孕仍然很少见。这些病例通常与高孕产妇和胎儿死亡率相关。
