Successful delivery following prior bicornuate uterine rupture: A case report

BACKGROUND: Bicornuate uterine rupture is rare, with only a handful of cases being reported. We found no documented case of successful subsequent pregnancy after rupture of a bicornuate uterus. CASE: A 33-year-old woman, G3P0020, at 16 weeks’ gestation initially presented to the Emergency Department with abdominal pain. She was diagnosed with a ruptured left uterine horn. Emergent surgical repair was performed. Soon after, the patient became pregnant in the “new” uterine cavity. After extensive counseling, she elected to continue with the pregnancy. She was closely monitored and delivered a viable infant at 34 weeks’ gestation via cesarean section. CONCLUSION: Bicornuate uterine rupture is an uncommon event. Our case showed that close observation could be a viable option.