case_images: PMC10010583_01
case_images: Gravid uterus with a formed lower segment on the right horn of the uterus, clear bifurcation as pointed with forceps
case_images: JWACS-13-111-g001.jpg
case_images: PMC10010583_01_JWACS-13-111-g001.jpg
case_images: F1
case_images: Gravid uterus on the right bicornuate horn [Figure 1] with no obvious internal cervical opening.
case_images: Probing showed the right cervical canal was later noted to be connected to the main cervix via a small opening midway into the cervix
case_images: JWACS-13-111-g002.jpg
case_images: PMC10010583_01_JWACS-13-111-g002.jpg
case_images: F2
case_images: 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].
case_images: Atonic right pregnant horn
case_images: JWACS-13-111-g003.jpg
case_images: PMC10010583_01_JWACS-13-111-g003.jpg
case_images: F3
case_images: 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].
case_images: Caesarean hemi-hysterectomy of the pregnant rudimentary horn and the normal uterus on the left
case_images: JWACS-13-111-g004.jpg
case_images: PMC10010583_01_JWACS-13-111-g004.jpg
case_images: F4
case_images: 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].