Ruptured cornual ectopic pregnancy at 8 weeks gestation- successful conservative approach: a case report
Keywords:
Cornual, Ectopic, Pregnancy, LaparotomyAbstract
Cornual pregnancy is a rare form of ectopic pregnancy that usually leads to uterine rupture with resultant life threatening hemorrhage. The mortality of interstitial pregnancies is more than twice that of other tubal pregnancies. Cornual pregnancies often rupture later than other tubal pregnancies because the myometrium is more distensible than the fallopian tube. We report a case where a patient presented at 8 weeks of gestational age with ruptured cornual ectopic pregnancy and hemoperitoneum. Emergency Laparotomy was done and cornual rupture was sutured successfully. Close monitoring of pregnancies in these patients is important to prevent a deleterious delay in treatment of a cornual pregnancy
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References
Confidential Enquiry into Maternal and Child Health. Why Mothers Die 2000-2002. The Sixth Report of the Confidential Enquiries into Maternal Deaths in the United Kingdom. London: RCOG Press; 2004.
Tulandi T, Al-Jaroundi D. Interstitial pregnancy: results generated from the Society of Reproductive Surgeons Registry. Obstet Gynaecol. 2004;103:47-50.
Jean B, Joel C, Taraneh S, Jean-Luc P, Herve F, Laurent G and Nadine JS. Risk factore for ectopic pregnancy: a comprehensive analysis based on large case-control population-based study in France. Am J Epidemiol, 2002;157(3): 185-194.
JJ Beltman and CJM Groot. Cornual pregnancy as a complication of the use of a levonorgestrel intrauterine device: a case report. Journal of medical case reports.2009; 3:8387.
Ankum WM, Mol BW, Vanderveen F, Bossuyt PM. Risk factors for ectopic pregnancy: a meta-analysis. Fertilsteril, 1997;67(4): 791-792.
Timor-Tritsch IE, Monteagudo A, Matera C, Veit CR. Sonographic evolution of cornual pregnancies treated without surgery. Obstet Gynaecol 1992;79: 1044-9.
