scholarly journals Cornual pregnancy-an unusual site of pregnancy: a case report and literature review

2019 ◽  
Vol 10 (1) ◽  
pp. 64-67
Author(s):  
Tanzeem S Chowdhury ◽  
Homaira Hasan ◽  
TA Chowdhury
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Cavity ◽  
Uterine Wall ◽  
Unusual Presentation ◽  
Cornual Pregnancy ◽  
Diagnostic Challenge ◽  
Unusual Site ◽  
Rare Type ◽  
Interstitial Pregnancy ◽  
Gestational Sac

Ectopic pregnancy is a condition where gestational sac is located outside the uterine cavity. Cornual pregnancy, also known as interstitial pregnancy, is a rare type of ectopic pregnancy that develops in the interstitial portion of the fallopian tube and invades through the uterine wall. It poses great diagnostic challenge because of its unusual presentation and late diagnosis. Cornual pregnancy, if not diagnosed early, may present with massive and uncontrollable bleeding even leading to maternal death. We hereby report an unusual presentation of cornual pregnancy which was diagnosed and subsequently managed successfully. Birdem Med J 2020; 10(1): 64-67

scholarly journals Angular Pregnancy Presenting as Cornual Ectopic Pregnancy

2014 ◽  
Vol 26 (1) ◽  
pp. 63-65
Author(s):  
Sankar Prosad Biswas ◽  
Suravi Halder ◽  
Feroja Banu Shirin
Keyword(s):  
Ectopic Pregnancy ◽  
Invasive Surgery ◽  
Uterine Cavity ◽  
Round Ligament ◽  
Obstetric Complication ◽  
Interstitial Pregnancy ◽  
Future Fertility ◽  
Life Threatening ◽  
Gestational Sac ◽  
Medicine Today

Angular pregnancy is a rare obstetric complication that can be life threatening. In this situation, gestational sac is implanted in the lateral angle of the uterine cavity, medial to the uterotubal junction and round ligament. Angular pregnancy is distinguished from interstitial pregnancy by anatomically, where embryo is implanted lateral to round ligament. The report presented here describes a case of angular pregnancy that was suspected by ultrasound and confirmed during surgery. Laparoscopy can be useful for guiding dilatation & curettage in angular pregnancy and may circumvent the need for invasive surgery or hysterectomy. It has an impact on future fertility. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21318 Medicine Today 2014 Vol.26(1): 63-65

scholarly journals A case report on ruptured interstitial ectopic pregnancy: diagnostic dilemma

2019 ◽  
Vol 8 (6) ◽  
pp. 2567
Author(s):  
Suman S. Sharma ◽  
A. V. Gokhale ◽  
Shonali Agrawal
Keyword(s):  
Ectopic Pregnancy ◽  
Broad Ligament ◽  
Rare Event ◽  
Uterine Cavity ◽  
Fallopian Tubes ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
Gestational Sac ◽  
Interstitial Ectopic Pregnancy

The ectopic pregnancy occurs when implantation of the blastocyst takes place in a site other than the endometrium of the uterine cavity. Interstitial ectopic pregnancies are gestations that implant within the proximal, intramural portion of the fallopian tubes with high vascularity. Ectopic pregnancy in the interstitial part of the fallopian tubes can be life-threatening considering the thin myometrial tissue surrounding the gestational sac and high vascularization which may result in catastrophic haemorrhage when interstitium is ruptured. Being a hazardous type of ectopic pregnancy, it becomes extremely important to diagnose and manage it. This condition presents a challenge for clinical as well as radiological diagnosis. Generally, a case of interstitial ectopic pregnancy has typical radiological features distinguishing it from other ectopic. The ultrasonographic finding of interstitial line has better sensitivity (80%) and specificity (98%) than eccentric gestational sac location (sensitivity, 40%; specificity, 88%) and myometrial thinning (sensitivity, 40%; specificity, 93%) for the diagnosis of interstitial ectopic pregnancy. Ultrasound is the mainstay of diagnosis, but magnetic resonance imaging can be helpful in unusual or complicated cases. Interstitial ectopic pregnancy rupturing into the leaves of broad ligament and creating a tamponade effect to alter the clinical presentation is a rare event which presents as a diagnostic challenge. Here authors present a case of ruptured interstitial ectopic pregnancy confined to the leaves of broad ligament, with atypical presentation and radiological features which led to difficulty in diagnosing the interstitial ectopic pregnancy. After laparoscopic confirmation of ruptured interstitial ectopic pregnancy, the patient was managed successfully by laparoscopic cornual resection.

scholarly journals Cornual Pregnancy: A Case Report

2014 ◽  
Vol 8 (2) ◽  
pp. 102-104 ◽  
Author(s):  
Irin Parveen Alam
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Cavity ◽  
Final Diagnosis ◽  
Uterine Wall ◽  
Cornual Pregnancy ◽  
College Hospital ◽  
Major Life ◽  
Threatening Situation

Ectopic pregnancy is a condition where gestation sac is located outside the uterine cavity; it is a major life threatening situation in early pregnancy. A cornual pregnancy is an ectopic pregnancy that develops in the interstitial portion of the fallopian tube invading through the uterine wall. As myometrium is more distensible fallopian tube cornual pregnancies often rupture later than other tubal pregnancies. Cornual pregnancy is rare and carries grave consequences to both mother and fetus. Here a case report has been presented where the patient was admitted in Faridpur Medical College Hospital. The case was presented with intra-abdominal haemorrhage at second trimester. In this cases investigation missed the diagnosis, final diagnosis was only made after laparotomy. The need for clinical suspicion and role of ultrasonography, resuscitation and laparotomy is necessary to prevent catastrophe. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20397 Faridpur Med. Coll. J. 2013;8(2): 102-104

scholarly journals A rare case report of cornual pregnancy

2021 ◽  
Vol 10 (10) ◽  
pp. 3986
Author(s):  
Priyanka Bansal ◽  
Gargi Aggarwal ◽  
Isha Bansal
Keyword(s):  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Healthy Woman ◽  
Cornual Pregnancy ◽  
Rare Type ◽  
Interstitial Pregnancy ◽  
Ultrasound Findings ◽  
Rare Case Report ◽  
Ectopic Pregnancies

Cornual pregnancy is a rare type of ectopic pregnancy in which embryo implants in the junction between the fallopian tube and uterus. Ectopic pregnancy is more common in the ampullary region of the fallopian tube. However, cornual (interstitial) pregnancy is seen in 2-4% of ectopic pregnancies. It is more dangerous than other ectopic as it may lead to catastrophic hemorrhage, shock with mortality rate of 2-2.5%. A cornual pregnancy is diagnosed at 7+3 week of amenorrhea in 27-year-old healthy woman. Ultrasound examination showed a right live cornual pregnancy with CRL corresponding to 6+4week of gestation with fetal heart pulsation. We performed right cornuostomy by laparotomy without any immediate or delayed postoperative complications. Cornual pregnancy poses significant diagnostic and therapeutic challenge; early diagnosis may help to select the proper management and treatment according to the clinical presentation, hemodynamic stability, serum b-hCG level and ultrasound findings. Early diagnosis and management remain the mainstay for tackling maternal mortality due to cornual pregnancy.

scholarly journals A Case of Ovarian Pregnancy Diagnosed by MRI

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama
Keyword(s):  
Ectopic Pregnancy ◽  
High Intensity ◽  
Transvaginal Ultrasonography ◽  
Mr Images ◽  
Diagnostic Challenge ◽  
Rare Form ◽  
Low Intensity ◽  
Ovarian Pregnancy ◽  
Gestational Sac ◽  
The Right

Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structure in the right ovary, which exhibited heterogeneous high intensity intermingled with punctate foci of distinct low intensity. MRI may be a useful tool for diagnosing ovarian pregnancy, by demonstrating a gestational sac in the ovary.

Variance in clinical presentation of Ectopic pregnancy

2021 ◽  
Vol 15 (10) ◽  
pp. 2845-2847
Author(s):  
Areeba Aftab ◽  
Memoona Faiyaz ◽  
Uzma Fahim ◽  
Humaira Tabassum ◽  
Saima Rafique ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Key Words ◽  
Acute Abdomen ◽  
Vaginal Bleeding ◽  
Clinical Presentation ◽  
Uterine Cavity ◽  
Cross Sectional ◽  
Clinical Presentations ◽  
Gestational Sac ◽  
Labour Ward

Objective: To adjudge the prevalence of distinct presentations in ectopic pregnancy. Research Design: Descriptive cross-sectional. Place and Duration of Study: Emergency Labour Ward Department of Obstetrics & Gynecology, Nishtar Hospital Multan from 1.07.2017 to 31.12.2017. Methodology: Ninety five patients having positive pregnancy tests and uterine cavity with no intrauterine gestational sac on ultrasound were included. Clinical presentation like amenorrhea, vaginal bleeding, acute abdomen, shock or asymptomatic were assessed. Results: Amenorrhea observed in 73(76.8%) women, vaginal bleeding was seen in 32 (33.7%) women, 88 (92.6%) patients presented with acute abdomen and vitals instability was seen in 8 (8.4%) patients and 6(6.3%) patients were without symptoms. Conclusion: The two most common clinical presentations in patients included in study were amenorrhea and acute abdomen. Thorough evaluation of the patients with sub-acute or chronic presentation should be adopted to diagnose the cases of ectopic pregnancy. Key words: Ectopic pregnancy; Clinical presentation; Variations

scholarly journals Cervical Twin Heterotopic Pregnancy: Overview of Ectopic Pregnancies and Scanning Detection Algorithm

Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 969
Author(s):  
Antonios Koutras ◽  
Zacharias Fasoulakis ◽  
Michail Diakosavvas ◽  
Athanasios Syllaios ◽  
Athanasios Pagkalos ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Uterine Cavity ◽  
Medical Abortion ◽  
First Trimester ◽  
Detection Algorithm ◽  
Heterotopic Pregnancy ◽  
Cervical Canal ◽  
Mortality And Morbidity ◽  
Gestational Sac ◽  
Ectopic Pregnancies

Background: Ectopic pregnancy is the leading cause of gestation-related deaths during the first trimester. Cervical twin heterotopic pregnancies, when ectopic, constitute a small and rare part of gynecological surgery. Case Presentation: A 30-year-old pregnant woman (gravida 3, para 2) presented with mild pain in the lower abdomen and traces of bleeding per vaginum for three days. Transvaginal ultrasonography revealed a balloon-shaped cervical canal with a visible gestational sac measuring 3.5 × 3.9 cm. A second gestational sac was seen in the uterine cavity. The measurements of the gestational sacs corresponded to 7 + 4 weeks’ pregnancy. A decision for medical abortion with mifepristone and misoprostol was made. However, due to an incomplete abortion and continuous bleeding, a curettage was performed. Conclusions: Spontaneous heterotopic pregnancy with the ectopic pregnancy located in the cervix is an extremely rare clinical condition requiring urgent treatment in order to reduce maternal mortality and morbidity and preserve fertility.

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

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.

scholarly journals A case of cornual pregnancy at ten gestational age accompanied by heterotopic pregnancy

2020 ◽  
Vol 10 (1) ◽  
pp. 343
Author(s):  
Jisun Yun ◽  
Jong-wook Seo ◽  
In Ok Lee ◽  
Jae Eun Chung
Keyword(s):  
Gestational Age ◽  
Wedge Resection ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Heterotopic Pregnancy ◽  
Time Of Arrival ◽  
Cornual Pregnancy ◽  
Abdominal Ultrasonography ◽  
Primary Hospital ◽  
Gestational Sac

Objective of the study was to report a case of cornual pregnancy at 10 weeks gestational age, accompanied by heterotopic pregnancy. A 41-year-old woman was transferred to the emergency department of the national health insurance service Ilsan hospital at amenorrhea 10 weeks 5 days after being diagnosed of cornual pregnancy from a primary hospital. The patient was nulliparous with a history of 1 induced and 2 missed abortions. Other than a previous myomectomy, her medico-surgical history was not significant. She was initially diagnosed with blight ovum at amenorrhea 8 weeks 4 days, and dilatation and curettage were performed at the primary hospital of which she was referred from. At amenorrhea 10 weeks 5 days, another gestational sac was noted at the left cornu of the uterus by ultrasonography. The tentative diagnosis was cornual pregnancy accompanied by heterotopic pregnancy. Serum ß human chorionic gonadotrophin (hCG) at the time of arrival was 84573.8 mIU/ml. Trans-abdominal ultrasonography showed a mass protruding from the left cornu of the uterine cavity, containing a gestational sac (mean sac diameter 39.0 mm, 10 weeks size) and an embryo of cranio-caudal length of 38.2 mm (10 weeks 5 days size). There was no sign of intraperitoneal hemorrhage. Emergency operation was planned under the diagnosis of cornual pregnancy. Entering the abdominal cavity, a 5×5 cm sized conceptual mass surrounded by thin and fragile myometrium was noted on left uterine cornu. Open wedge resection of the left cornual pregnancy with left salpingectomy was performed. The resected mass was 4.0×3.5 cm2 in size. An embryo with 45 mm size was confirmed inside the mass.

scholarly journals Medical management of unruptured interstitial pregnancy with mifepristone and methotrexate

2016 ◽  
Vol 4 (1) ◽  
pp. 34-36 ◽  
Author(s):  
Usha Karki ◽  
Rachana Saha
Keyword(s):  
Single Dose ◽  
Surgical Treatment ◽  
Ectopic Pregnancy ◽  
Medical Management ◽  
Uterine Cavity ◽  
Interstitial Pregnancy ◽  
Muscular Layer ◽  
Medical College ◽  
Future Pregnancy ◽  
Interstitial Ectopic Pregnancy

Ectopic pregnancy is a serious complication of pregnancy in which embryo gets implanted any where other than the uterine cavity. In interstitial pregnancy, the pregnancy is located in that part of the fallopian tube that penetrates the muscular layer of the uterus. Overall incidence of ectopic pregnancy is one to two percent among which the incidence of interstitial pregnancy is only two percent. Interstitial pregnancy being the hazardous type requires immediate management. Though surgical treatment is the management of choice, its association with decreased fertility rate and increased rate of uterine rupture in future pregnancy cannot be ignored. We hereby report of medical management of interstitial ectopic pregnancy with single oral dose of Mifepristone 200mg along with single dose of Methotrexate 50miligram intramuscularly.Journal of Kathmandu Medical College, Vol. 4(1) 2015, 34-36

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