# Rare Presentation of a Viable Secondary Abdominal Ectopic Pregnancy in the Rudimentary Horn of a Bicornuate Uterus: A Case Report

## TL;DR

This case report describes a rare abdominal ectopic pregnancy in a bicornuate uterus and highlights the importance of early diagnosis and careful management for positive outcomes.

## Contribution

The paper presents a rare clinical case and emphasizes the need for multidisciplinary care in managing high-risk ectopic pregnancies.

## Key findings

- Abdominal ectopic pregnancy in a rudimentary horn is rare and challenging to diagnose late in pregnancy.
- Precise surgical management and preoperative planning can lead to favorable maternal and neonatal outcomes.
- Early recognition and vascular interventions are critical in reducing complications.

## Abstract

An advanced abdominal in a rudimentary horn pregnancy is rare and difficult to diagnose, especially in late gestation. Accurate early recognition, multidisciplinary planning, and preoperative vascular interventions are critical. With precise surgical management, even in high‐risk scenarios, favorable maternal and neonatal outcomes can be achieved despite significant complications.