Unruptured Ampullary Ectopic Pregnancy at 16-week Period of Gestation with Live Fetus

Ectopic pregnancy will unavoidably result in abortion or rupture. Ultrasound examination and β-hcg measurement are required, regarding symptomatic women with positive pregnancy test, in order to early detect cases of ectopic pregnancy. Here we report a case of a woman presented to the emergency depart- ment with acute abdomen and hemodynamic instability. History revealed a period of amenorrhea of 13 weeks and pregnancy test was found positive. Sonographic examination showed left adnexal swelling with viable fetus inside, hemoperitoneum and thus immediate laparotomy was decided. Left salpingo-oophorec- tomy was performed and post-operative course of the patient was uneventful. According to this case, ec- topic pregnancy should not be eliminated from differential diagnosis when it comes to pregnant women with relevant clinical presentation, even in advanced gestational age.

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Cornual Ectopic Pregnancy of Dichorionic Diamniotic Twins, With One Live Fetus and Co-Twin Demise

Ultrasound Quarterly ◽

10.1097/ruq.0b013e318262cb73 ◽

2012 ◽

Vol 28 (3) ◽

pp. 189-191 ◽

Cited By ~ 3

Author(s):

Elizabeth Asch ◽

Deborah Levine ◽

Judith Robens

Keyword(s):

Ectopic Pregnancy ◽

Live Fetus

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Successful conservative management of a rare case of ruptured cornual ectopic pregnancy

Endocrinology&Metabolism International Journal ◽

10.15406/emij.2020.08.00272 ◽

2020 ◽

Vol 8 (1) ◽

Author(s):

Sreelatha S ◽

Sumayya Sana ◽

Pruthvi S ◽

Yashaswini . ◽

Shruthi K ◽

...

Keyword(s):

Ectopic Pregnancy ◽

Severe Pain ◽

Hypovolemic Shock ◽

Medical Emergency ◽

Emergency Laparotomy ◽

Cornual Pregnancy ◽

Rare Type ◽

Pain Abdomen ◽

Ectopic Pregnancies ◽

Period Of Gestation

Cornual pregnancy is a rare type of ectopic pregnancy with incidence of about 2-4% of all ectopic pregnancies. The mortality rate is about 2-2.5%. The diagnosis and management is challenging and frequently constitute a medical emergency. We report a case of a 33year old second gravida, para 1, living 1 with previous LSCS with 13weeks 2days period of gestation presenting to the casualty with complaints of severe pain abdomen and signs of hypovolemic shock. Ultrasound revealed gross hemoperitoneum with ruptured right adnexal gestation. Emergency laparotomy was done and cornual end was found ruptured and was sutured successfully and hemostasis achieved. Intra operative two units of packed cells was transfused. Patient was discharged stable on post-op day 7.

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Cornual Heterotopic Pregnancy after Bilateral Salpingectomy and Uterine Septum Resection Resulting in Term Delivery of a Healthy Infant

Case Reports in Obstetrics and Gynecology ◽

10.1155/2014/157030 ◽

2014 ◽

Vol 2014 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Serkan Oral ◽

Yaşam Kemal Akpak ◽

Nilay Karaca ◽

Ali Babacan ◽

Kadir Savan

Keyword(s):

Ectopic Pregnancy ◽

Transvaginal Ultrasound ◽

Uterine Cavity ◽

Heterotopic Pregnancy ◽

Simultaneous Occurrence ◽

Free Fluid ◽

Uterine Septum ◽

Bilateral Salpingectomy ◽

Live Fetus

Heterotopic pregnancy is the simultaneous occurrence of two or more implantation sites. A 25-year-old infertile patient with a history of bilateral salpingectomy, uterine septum resection, and left cornual resection was diagnosed with heterotopic pregnancy in her secondin vitrofertilization trial. She attended our clinic when she was 7-week pregnant, complaining initially of severe abdominal pain. Findings associated with peritoneal irritation were positive during the physical examination. Transvaginal ultrasound revealed right cornual ectopic pregnancy with a live fetus in the middle of the uterine cavity. Also free fluid was noted in the pelvis. A diagnosis of heterotopic pregnancy with rupture of the cornual pregnancy was made. She underwent emergency laparoscopy with aspiration of the ruptured ectopic pregnancy, suturing to the entire visible cornual margins, and assurance of good haemostasis. Her recovery was uneventful and she continued receiving care in our obstetric unit. She delivered a healthy newborn by cesarean section at term.

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Medical management of ectopic pregnancy

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20203861 ◽

2020 ◽

Vol 9 (9) ◽

pp. 3809

Author(s):

Tseten Zangmu Bhutia ◽

Zigmee Dorjee Tamang ◽

Goutam Giri

Keyword(s):

Medical Treatment ◽

Ectopic Pregnancy ◽

Failure Rate ◽

Medical Management ◽

Treatment Options ◽

First Trimester ◽

Benign Condition ◽

Β Hcg ◽

Ectopic Pregnancies ◽

Period Of Gestation

Background: Ectopic pregnancy is a commonest cause of maternal morbidity and mortality in the first trimester of pregnancy. Clinical presentation of ectopic pregnancy has changed from life threatening disease to a more benign condition for which nonsurgical treatment options are available with methotrexate administered systemically or locally. The study was done to evaluate the outcome of medical management of ectopic pregnancy with single regimen methotrexate.Methods: A cohort study was conducted over 18 months on 60 unruptured ectopic pregnancies who were treated with methotrexate injection.Results: Out of 60 unruptured ectopic pregnancies, 53 (88.3%) were successfully treated with methotrexate. Failure rate was 11.7% (7/60) patients who underwent laparotomy. Success of medical treatment was dependent on pretreatment β-hCG (≤4102.5 mIU/mL), period of gestation (≤5 weeks), size of gestational sac (≤3 cm) above which the failure rate increases. No correlation was seen between fall of β-hCG from day 4 to 7 and the success rate. Mean time to resolution of β-hCG seen was 4.3±1.25 weeks. Mean duration of hospital stay was 8.85±1.603 days. Single dose regimen of methotrexate was given to all patients and only 1/60 patients required second dose of methotrexate for suboptimal decrease of β-hCG.Conclusions: The result showed that pretreatment β-hCG level and period of gestation were good predictors for success of medical treatment.

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