Abstract
Background: Cornual or Interstitial Ectopic pregnancy is a rare, catastrophic and the leading cause of maternal mortality in first trimester of pregnancy.
Result: A 37 year-old para-4-0-2-4 woman presenting to gynaecological emergency department with h/o 2 ½ months of amenorrhoea and complaints of spotting PV, pain abdomen and vomiting since 1 day. Clinically diagnosis of ruptured ectopic pregnancy was made and confirmed using USG. Intraoperatively right cornual ruptured ectopic pregnancy was found. Right cornuostomy with repair with left tubal ligation was done.
Conclusion: The diagnosis of an interstitial ectopic pregnancy is usually difficult and delayed resulting in high morbidity and mortality. Our patient treated by right cornuostomy with repair and left tubal ligation.
Keywords: Ectopic pregnancy, Cornual pregnancy, Cornuostomy,
References
- Wood C, Hurley V. Ultrasound Diagnosis and Laparoscopic Excision of an Interstitial Ectopic Pregnancy.Aust N Z J Obstet Gynaecol.1992;32:371–2.
- Ankum WM, Mol BWJ, Van der Veen F, et al: Risk factors for ectopic pregnancy: A meta-analysis. Fertil Steril 65:1093, 1996 [PMID: 8641479]
- Tulandi T, A1-Jaroudi D: Interstitial pregnancy: Results generated from the Society of Reproductive Surgeons. Obstet Gynecol 103:47, 2004 [PMID: 14704243]
- Dorfman SF, Grimes DA, Cates W Jr, et al: Ectopic pregnancy mortality, United States, 1979 to 1980: Clinical aspects. Obstet Gynecol 64:386, 1984 [PMID: 6462568]
- Maliha WE, Gonella P, Degnan EJ. Ruptured interstitial pregnancy presenting as an intrauterine pregnancy by ultrasound. Ann Emerg Med. 1991;20:910–2.
- Ackerman TE, Levi CS, Dashefsky SM, Holt SC, Lindsay DJ. Interstitial line: Sonographic finding in interstitial (cornual) ectopic pregnancy. Radiology. 1993;189:83–7.
- Barnhart KT, Simhan H, Kamelle SA: Diagnostic accuracy of ultrasound, above and below the beta-hCG discriminatory zone. Obstet Gynecol 94:583, 1999 [PMID: 10511363]
- Pisarska MD, Carson, Buster JE: Ectopic pregnancy. Lancet 1998; 351:1115.
Corresponding Author
Dr Vinodkumar Suresh Basavaradder
(PGT), Obstetrics and Gynecology, JNIMS, Imphal, Manipur