A CASE OF CORNUAL ECTOPIC PREGNANCY SUCCESSFULLY TREATED BY LAPAROSCOPY

Journal
Journal of Morphological Sciences
Date Issued
2022
Author(s)
Dimitar Georgiev
Bashkim Ismaili
DOI
10.55302/JMS2251039g
Abstract
Cornual pregnancy is a rare type of ectopic pregnancy where the embryo implants in the junction
between the fallopian tube and the uterus. Only 2% to 3% of all tubal pregnancies are cornual.
Uterine rupture may occur in up to 20% of the cases of cornual pregnancy that progress beyond 12
weeks of amenorrhea, resulting in massive hemorrhage due to high vascularity in this region through the
branches of the uterine artery.
Despite the availability of modern diagnostic modalities including transvaginal ultrasonography,
there is difficulty in the early diagnosis because of its location. We present a case of unruptured cornual
ectopic pregnancy in a 40-year- old woman with amenorrhea of 7 weeks.
In our case, the diagnosis was made early and laparoscopic cornuostomy with removal of the
gestational sac and ipsilateral salpingectomy were performed, followed by laparoscopic repair of the
cornuostomy incision.
Hemostasis was achieved with electrocoagulation. This caused minimal hemorrhage without
intraoperative and postoperative complications.
Subjects

cornual pregnancy

ectopic pregnancy

transvaginal ultrason...

laparoscopic cornuost...

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