PMC10010583_01
Gravid uterus with a formed lower segment on the right horn of the uterus, clear bifurcation as pointed with forceps
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F1
Gravid uterus on the right bicornuate horn [Figure 1] with no obvious internal cervical opening.
Probing showed the right cervical canal was later noted to be connected to the main cervix via a small opening midway into the cervix
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F2
The anatomic orientation of the cervix on the rudimentary horn was not clear but a gentle probing showed a cervical canal connected to the main cervix midway into the cervix [Figure 2].
Atonic right pregnant horn
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F3
Attempts were made to prevent haemorrhage but she developed primary PPH due to atony [Figure 3] and had 60 international units (IU) of oxytocin and 0.5 mg of intramyometrial ergometrine given, but to no avail, thus warranting caesarean hemi-hysterectomy of the rudimentary horn [Figure 4].
Caesarean hemi-hysterectomy of the pregnant rudimentary horn and the normal uterus on the left
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F4
Attempts were made to prevent haemorrhage but she developed primary PPH due to atony [Figure 3] and had 60 international units (IU) of oxytocin and 0.5 mg of intramyometrial ergometrine given, but to no avail, thus warranting caesarean hemi-hysterectomy of the rudimentary horn [Figure 4].