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Case Reports in Radiology
Volume 2012 (2012), Article ID 289103, 4 pages
http://dx.doi.org/10.1155/2012/289103
Case Report

Misdiagnosed Uterine Rupture of an Advanced Cornual Pregnancy

Department of Radiology, Odense University Hospital, Sdr. Boulevard 29, 5000 Odense C, Denmark

Received 9 January 2012; Accepted 1 February 2012

Academic Editors: E. Kocakoc and L. Lampmann

Copyright © 2012 Christian Linus Hastrup Sant and Poul Erik Andersen. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cornual pregnancy is a diagnostic and therapeutic challenge with potential severe consequences if uterine rupture occurs with following massive intraabdominal bleeding. We report a case of a misdiagnosed ruptured cornual pregnancy occurring at 21 weeks of gestation. Ultrasound examination and computer tomography revealed no sign of abnormal pregnancy. The correct diagnosis was first made at emergency laparotomy. Uterine rupture should be considered in pregnant women presenting with abdominal pain and haemodynamic instability.