Successful pregnancy outcome following uterine artery embolization for cornual ectopic pregnancy: a case report

Abstract

Cornual ectopic pregnancy is a rare but potentially life-threatening condition that often requires prompt intervention. Uterine artery embolization (UAE) has emerged as a valuable treatment modality for controlling haemorrhage and preserving the uterus. However, UAE can compromise endometrial and ovarian function, potentially leading to infertility. While extensive literature exists on the use of UAE for fibroid management and its impact on pregnancy outcomes, data on successful conception following UAE for cornual ectopic pregnancy remain limited. We present a unique case of a 35-year-old woman who conceived and delivered at term following UAE for the management of a ruptured cornual ectopic pregnancy. Despite concerns regarding compromised uterine perfusion and endometrial receptivity post-UAE, the patient achieved a successful pregnancy with the assistance of assisted reproductive techniques. This case underscores the challenges associated with post-UAE fertility and highlights the role of judicious and timely assisted reproductive interventions in achieving favourable reproductive outcomes. This report adds to the limited evidence supporting successful pregnancy following UAE for cornual ectopic pregnancy. It emphasizes the need for individualized fertility counseling and management strategies for women desiring conception after UAE.