BMJ Case Reports 2018; doi:10.1136/bcr-2017-222073
  • Learning from errors

Torsion and rupture of a non-communicating rudimentary horn in a 17-week gestation in a 16-year-old girl: lessons learnt

  1. Smriti Agrawal2
  1. 1Department of Obstetrics and Gynecology, King George’s Medical University, Lucknow, Uttar Pradesh, India
  2. 2Department of Obstetrics and Gynecology, King George’s Medical University, Lucknow, India
  1. Correspondence to Dr Namrata Kumar, dr.nmrata{at}
  • Accepted 4 December 2017
  • Published 13 January 2018


A unicornuate uterus with non-communicating rudimentary horn has always been notorious and poses threat to continuation of pregnancy with dismal consequences. We are reporting an interesting case of uterine malformation with a 90° rotation of uterine axis which ultimately ruptured during termination of pregnancy. The rarity in our case was not only conception in non-communicating horn but also the complete twisting of axis which made the pregnant horn come in front of the non-gravid unicornuate uterus, mimicking normal pregnancy. The most important lesson learnt is that if induction does not lead to cervical changes and uterine contractions, one must consider atypical presentations of an anomalous uterus as a possible differential before proceeding further.


  • Contributors NK: did the surgery and wrote the draft. VD: designed the concept, helped in formulating and corrections. SA and AP: helped in literature search.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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