Open Access

Cornual ectopic

Gynecological SurgeryEndoscopic Imaging and Allied Techniques20096:477

https://doi.org/10.1007/s10397-009-0477-3

Received: 4 February 2009

Accepted: 27 February 2009

Published: 18 March 2009

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

Laparoscopic views of the left cornual ectopic pregnancy

Fig. 2

Laparoscopic views of the left cornual ectopic pregnancy

Fig. 3

Laparoscopic views of the left cornual ectopic pregnancy

Fig. 4

Left salpingectomy and cornual excision

Authors’ Affiliations

(1)
Obstetrics and Gynecology Department ZNA Stuivenberg
(2)
Università dell’Insubria

References

  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 3:31–33View ArticleGoogle Scholar
  2. Jaeger C, Reich A, Kreienberg R, Flock F (2006) Suitable laparoscopic surgery in the treatment of ectopic interstitial pregnancy. Gynecol Surg 3:1–5View ArticleGoogle Scholar
  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):74–78PubMedView ArticleGoogle Scholar

Copyright

© Springer-Verlag 2009

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