Fertility following laparoscopic removal of rudimentary horn with an ectopic pregnancy.

BACKGROUND: Rudimentary horn pregnancies are rare. Although there have been previous reports of laparoscopic management, reports of successful pregnancies following previous excision of rudimentary horn were not found. Laparotomy remains the more common approach.

CASE PRESENTATION: We report the story of a woman found to have a rudimentary horn pregnancy who chose to be managed laparoscopically, and subsequently became pregnant and delivered a viable term infant 15 months following laparoscopic surgery.

DISCUSSION: The laparoscopic approach proffers decreased hospital stay, operating time, and potential for adhesions and is thus an important option for treatment of rudimentary horn pregnancies.