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Cornual ectopic

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Case study

An 8-week primiparous 34-year-old lady, was referred to the early pregnancy unit regarding threatening miscarriage. Transvaginal ultrasound scan detected a left cornual ectopic pregnancy measuring 5 cm in diameter with βHCG level of 80,000 UI. The patient was hemodynamicaly stable. Laparoscopy confirmed the diagnosis (Figs. 1, 2, and 3) and salpingectomy with excision of the ectopic pregnancy was performed (Fig. 4). Electro-coagulation (monopolar and bipolar) was used and hemostasis was assured using two intramural stitches Vicryl® 1/0 at the end of the operation. The patient had an uneventful recovery and returned home after 24 h. To our best knowledge, this case has a spectacular illustration and was treated without need to convert to laparotomy. Use of methotrexate [13] or interventional radiography with uterine artery embolization have been attempted in the past in selected cases. In case of a diagnostic doubt, MRI can detect and characterize better the pregnancy location [3].

Fig. 1
figure1

Laparoscopic views of the left cornual ectopic pregnancy

Fig. 2
figure2

Laparoscopic views of the left cornual ectopic pregnancy

Fig. 3
figure3

Laparoscopic views of the left cornual ectopic pregnancy

Fig. 4
figure4

Left salpingectomy and cornual excision

References

  1. 1.

    Onderoglu LS, Salman MC, Ozyuncu O, Bozdag G (2006) Successful management of a cornual pregnancy with a single high-dose laparoscopic methotrexate injection. Gynecol Surg 3:31–33

  2. 2.

    Jaeger C, Reich A, Kreienberg R, Flock F (2006) Suitable laparoscopic surgery in the treatment of ectopic interstitial pregnancy. Gynecol Surg 3:1–5

  3. 3.

    Ross R, Lindheim SR, Olive DL, Pritts EA (2006) Cornual gestation: a systematic literature review and two case reports of a novel treatment regimen. J Minim Invasive Gynecol 13(1):74–78

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Author information

Correspondence to Costas Panayotidis.

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Keywords

  • Methotrexate
  • Interventional Radiology
  • Good Knowledge
  • Early Pregnancy
  • Reproductive Medicine