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A patient in her second pregnancy with a history of previous preterm delivery presented with 4-month pregnancy with acute pain abdomen and hemodynamic instability. She was evaluated by usg and high suspicion of uterine malformation was given. Considering her hemodynamic instability decision of emergency laparotomy was taken. On laparotomy, patient had non communicating rudimentary horn pregnancy rupture with hemoperitoneum. Rudimentary horn was excised and small 16 weeks fetus was retrieved from the abdominal cavity found near the liver. Peritoneal lavage was done. The patient had a good recovery postoperatively