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

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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Abdominal ectopic pregnancy: a case report with a live fetus

Revista Médica de Minas Gerais ◽

10.5935/2238-3182.20150131 ◽

2015 ◽

Vol 25 (4) ◽

Author(s):

Sara de Pinho Cunha Paiva ◽

Gabriel Alves Silveira ◽

Giulia Melendez Conigliaro ◽

Rafael Alves Silveira ◽

Carolina Ferraz

Keyword(s):

Case Report ◽

Ectopic Pregnancy ◽

Live Fetus

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

The Journal of Obstetrics and Gynecology of India ◽

10.1007/s13224-012-0228-7 ◽

2012 ◽

Vol 64 (1) ◽

pp. 73-74

Author(s):

Rita Mhaskar ◽

Manjula Harish ◽

Tejaswini Jaiprakash

Keyword(s):

Ectopic Pregnancy ◽

Live Fetus ◽

Period Of Gestation

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Ectopic Pregnancy at 13-week Period of Gestation with Live Fetus

Hellenic Journal of Obstetrics and Gynecology ◽

10.33574/hjog.1663 ◽

2018 ◽

Vol 17 (4) ◽

pp. 99-102

Author(s):

Konstantinos Zacharis ◽

Stavros Kravvaritis ◽

Theodoros Charitos ◽

Anastasia Fouka

Keyword(s):

Ectopic Pregnancy ◽

Clinical Presentation ◽

Ultrasound Examination ◽

Hemodynamic Instability ◽

Sonographic Examination ◽

Pregnancy Test ◽

Positive Pregnancy Test ◽

Β Hcg ◽

Live Fetus ◽

Period Of Gestation

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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