Abstract
Background: cornual ectopic or interstitial ectopic is a rare type of ectopic pregnancy for 2-4% of all tubal pregnancies. It is associated with serious or fatal bleeding and mortality rate upto 2-2.5%.
Result: A 32 year old woman, G3P2L2, 2 Alive presented to the gynaecological Emergency ward with 10 weeks amenorrhea, with lower abdominal pain on April 09, 2014. A clinical diagnosis of ectopic pregnancy was made and confirmed using USS. At surgery a right cornual unruptured ectopic pregnancy was found. She had right cornual resection and salphingectomy and left tubal ligation. There were no postoperative complications.
Conclusion: it is difficult to make a clinical diagnosis of cornual ectopic pregnancy. Management is generally surgical. Our patient had Cornual resection and salphingectomy with no postoperative morbidity.
Key words: Ectopic, Cornual, pregnancy
References
1. Lukas DK. Ectopic Pregnancy. In: Shaw RW editor. Gynaecology. 3rd ed. Londom (UK): Elsevier Science Limited; 2003. p. 371-86
2. Ectopic Pregnancy. In: Speroff L, Marc AF editors. Clinical gynaecologic Endocrinology and Infertility. 7th ed. New York (NY): Lippincott Williams & Wilkins. 2005; 1: p.1276-96.
3. Faraj R, Steel M. Review management of cornual (interstitial pregnancy. Obstet Gynaecol 2007;9:249-55.
4. Ackerman TE, Levi CS, Dashefsky SM, Holt SC, Lindsay DJ Interstitial line: Sonographic fi nding in interstitial (cornual) ectopic pregnancy. Radiology 1993;189:83-7.
5. Lee GS, Hur SY, Kown I, Shin JC, Kim SP, Kim SJ. Diagnosis of early intramural ectopic pregnancy. J Clin Ultrasound 2005;33:190-2.
6. Akrivis Ch, Varras M, Kyparos J, Demou A, Stefanaki S, Antoniou N. Early ultrasonographic diagnosis of unruptured interstitial pregnancy: A case report and review of the literature. Clin Exp Obstet Gynecol 2003;30:60-4.
7. Deruelle P, Closset E. Management of interstitial pregnancy using selective uterine artery embolization. Obstet Gynecol 2006;107:427-8.
8. Grimbizis GF, Tsalikis T, Mikos T, Zepiridis L, Athanasiadis A, Tarlatzis BC, et al. Case report: Laparoscopic treatment of a ruptured interstitial pregnancy. Reprod Biomed Online 2004;9:447-51.
9. Pal B, Akinfenwa O, Harrington K. Hysteroscopic management of cornual ectopic pregnancy. BJOG 2003;110:879-80.
10. Minelli L, Landi S, Trivella G, Fiaccavento A, Barbieri F. Cornual pregnancy successfully treated by suction curettage and operative hysteroscopy. BJOG 2003;110:1132-4.
Corresponding Author
Dr Sudha Rani Panagar
Obstetric and Gynaecology Departmen
DOI: http://dx.doi.org/10.18535/jmscr/v3i11.23
