Rudimentary horn pregnancy (RHP) is a rare diagnosis with life-threatening maternal consequences. We describe the diagnosis and management of RHP in a medically complex patient. This case highlights three challenging aspects of RHP, which we review in detail: 1) Accurate classification and risk-stratification of rudimentary horn pregnancy, 2) Radiologic assessment for intrapartum diagnosis, and 3) Prenatal identification and management of patients with rudimentary uterine horn.
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