Background: Transvaginal ultrasound and magnetic resonance imaging (MRI) diagnosed a ruptured cornual pregnancy in a female. The patient was successfully treated with manual removal from the rupture site. Case: A 36-year-old woman was referred with a ruptured cornual pregnancy at 12 weeks; there was a positive fetal heart rate. A transabdominal ultrasound scan led to suspicion of an abnormal pregnancy, which was confirmed by MRI. Results: The uterus had ruptured, and the defect was sutured. The patient's postoperative course was uneventful. Conclusions: If unruptured, a cornual ectopic pregnancy is difficult to diagnose in the early stages. Transvaginal ultrasound is a more suitable diagnostic tool than transabdominal ultrasound. MRI was used to confirm the diagnosis of this case. (J GYNECOL SURG 30:35)
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References
1.
ApiM, ApiO. Laparoscopic cornuotomy in the management of an advanced interstitial ectopic pregnancy: A case report. Gynecol Endocrinol, 2010; 26:208.
2.
PoujadeO, DucarmeG, LutonD. Cornual heterotopic pregnancy: A case report. J Med Case Rep, 2009; 3:7233.
3.
TulandiT, Al-JaroudiD. Interstitial pregnancy: Results generated from the Society of Reproductive Surgeons Registry. Obstet Gynecol, 2004; 103:47.
4.
GutierrezPS, LewisM, BarabellG, UpshawJ. Cornual ectopic pregnancy in a female with initial negative ultrasound. Pediatr Emerg Care, 2011; 27:1182.
TangA, BaartzD, KeatS. A medical management of interstitial ectopic pregnancy: A 5-year clinical study. Aust N Z J Obstet Gynaecol, 2006; 46:107.
7.
MalinowskiA, BatesSK. Semantics and pitfalls in the diagnosis of cornual/interstitial pregnancy. Fertil Steril, 2006; 86:1764.e11.
8.
AckermanTE, LeviC, DashefskySM, et al. Interstitial line: Sonographic finding in interstitial (cornual) ectopic pregnancy. Radiology, 1993; 189:83.
9.
Timor-TritschIE, MonteagudoA, MateracC, et al. Sonographic evolution of cornual pregnancies treated with surgery. Obstet Gynecol, 1992; 79:1044.
10.
TakeuchiK, YamadaT, OomoriS, et al. Comparison of magnetic resonance imaging and ultrasonography in the early diagnosis of interstitial pregnancy. J Reprod Med, 1999; 44:265.
11.
TinelliA, MalvasiA, PellegrinoM, PontrelliG, MartulliB, TsinDA. Laparoscopical management of cornual pregnancies: A report of three cases. Eur J Obstet Gynecol Reprod Biol, 2010; 151:199.
