Pregnancy in the rudimentary horn is rare and carries grave consequences for the mother and fetus. 90% of them present with intraperitoneal haemorrhage in the second trimester due to rupture of the horn.
A case report of unruptured pregnancy in a left rudimentary horn of unicornuate uterus at a gestational age of 30weeks 4 days. Laparotomy was done and the rudimentary horn excised along with left sided salpingectomy. The need for a high index of suspicion and the role of ultrasonography in the accurate diagnosis of such cases is highlighted.