Cornual pregnancy with a history of recurrent ectopic pregnancy

Authors

  • Wiwin Suhandri Department of Obstetrics and Gynecology Faculty of Medicine, University of Riau Arifin Achmad General Hospital, Pekanbaru, Indonesia
  • Feldi Widianto Department of Obstetrics and Gynecology Faculty of Medicine, University of Riau Arifin Achmad General Hospital, Pekanbaru, Indonesia

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241304

Keywords:

Cornual pregnancy, Abdominal pain, Caesarean section

Abstract

The health of both the mother and the fetus is at risk when symptomatic maternal arrhythmias occur during pregnancy. Sustained symptomatic arrhythmias should be managed, much like in the non-pregnant population. The specific arrhythmia that has been identified or is suspected must be treated. Electrical cardioversion is used to treat supraventricular arrhythmias when medication therapy and physical therapy, such as sinus carotid massage or valsalva movements, fail or in life-threatening conditions where the patient is hemodynamically unstable. A 27-year-old primipara came to Bengkalis hospital at 37 weeks of gestation due to complaints of palpitations. palpitations felt for 4 hours before admission to the hospital. The patient had experienced the same complaint and was examined by a cardiologist who said that the patient had a tendency to arrhythmia and was given bisoprolol. An ECG examination was carried out in the emergency room, the impression was supraventricular tachycardia with HR 185 bpm, an abdominal termination of pregnancy was carried out, and the cardiologist performed cardioversion in the operating room 3 times, and the mother's HR returned to sinus rhythm. The outcome was a baby girl born with a birth weight of 3200 grams, an Apgar score of 8/9. Mother was treated and went home on the 3rd postoperative day in good condition. Provided that a multidisciplinary approach, continuous fetal heart rate monitoring and the possibility to perform a caesarean section are applied, it can be concluded that cardioversion is a safe and effective treatment for maternal tachycardia in pregnancy.

References

Kumar P, Malhotra N. Principle of Gynaecology: Ectopic pregnancy. 7th ed. New Delhi: Jaypee Brothers Medical Publishers; 2017.

Soriano D, Vicus D, Mashiach R, Schiff E, Seidman D, Goldenberg M. Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases. Fertil Steril. 2008;90(3):839-43.

Divry V, Hadj S, Bordes A, Genod A, Salle B. Case of progressive intrauterine twin pregnancy after surgical treatment of cornual pregnancy. Fertil Steril. 2007; 87(1):190.

Hill AJ, Van Winden KR, Cook CR. A true cornual (interstitial) pregnancy resulting in a viable fetus. Obstet Gynecol. 2013;121(1):427-30.

Schaffer JI, Halvorson LM, Bradshaw KD. Williams Gynaecology: Ectopic pregnancy. 1st ed. New York: McGraw-Hill Medical; 2019.

Fritz MA, Speroff L. Clinical Gynecological Endocrinology and Infertility. New Delhi: Wolters Kluwer Health/Lippincott Williams and Wilkins; 2019.

Downloads

Published

2024-05-16

Issue

Section

Case Reports