DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20203871

A ruptured cornual pregnancy: a case report

Hind Ennasser, Jamal Eddine Raoudi, Hafsa Taheri, Hanane Saadi, Ahmed Mimouni

Abstract


A cornual gestation is a rare form of ectopic gestations accounting for 2-4% of all tubal pregnancies with a high rate of mortality among to 2%-2.5%. A 25 years old woman prima gravida was presented to the obstetrical emergency department with 8 weeks amenorrhea, lower abdominal pain and vaginal bleeding. A clinical diagnosis of ectopic pregnancy was made and confirmed using Ultrasonography and serum beta-hCG test. On laparotomy exploration authors found a left cornual ruptured ectopic pregnancy then authors made a left cornual resection with left salpingectomy. There were no postoperative complications.

Keywords


Cornual gestation, Ectopic pregnancy, Laparotomy, Tubal pregnancy

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References


Tulandi T, AI-Jaroudi D. Interstitial pregnancy: results generated from the society of reproductive surgeons registry. Obstet Gynecol. 2004;103:47–50.

M Shendy, R Atalla. Modern management of cornual ectopic pregnancy 26, October, 2011 Available from: http://www.intechopen.com/books

Lau S, Tulandi T. Conservative medical and surgical management of interstitial ectopic pregnancy, Fertil Steril. 1999; 72:207-15

Maowad NS, Mahajan ST, Moinz MD, Tayler SE, Hurd WW. Current diagnosis and treatment of interstitial pregnancy. American Journal Obstetrics and Gynaecology. 2010;202:15–29.

Abraham D, Silkowski C. Emergency Medicine Sonography 1st ed; 2010, 264-27.

Radwan Faraj, Martin Steel. Management of cornual (interstitial) pregnancy. Royal College of Obstetricians and Gynaecologist. 2007;9:249–55.

J Hwang, J Lee, N Lee, L lee. Open cornual resection versus laparoscopic cornual resection in patients with interstitial ectopic pregnancies. European J Obstet Gynaecol Reproduct Biol. 2011; 156:78-82.

E Lee, H Hahn, B Park, D Ro, J Kim, Y Kim. Single-port laparoscopic cornual resection for a spontaneous cornual ectopic pregnancy following ipsilateral salpingectomy. Fertil Steril. 2011; 96(2): 106-9.

Khawaja N, Walsh T, Gill B. Uterine artery ligation for the management of ruptured cornual ectopic pregnancy. Eur J Obstet Gynecol Reprod Biol. 2005; 118: 269.