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Abstract Non-communing rudimentary horn pregnancy can present as missed abortion and medication abortion should be avoided in such cases as it may precipitate uterine rupture. The definitive diagnosis is made by laparoscopy or laparotomy especially in those cases complicated with uterine rupture. Second trimester missed abortion cases should undergo a meticulous ultrasound evaluation before proceeding with abortion care and a diagnosis of unicornate uterus with a rudimentary horn pregnancy should be considered.
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Teklu et al. (2024) studied this question.
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