A CASE OF CORNUAL ECTOPIC PREGNANCY THAT WAS SUCCESFULLY LAPAROSCOPICALLY TREATED

  • Dimitar Georgiev Specialized Specialized Hospital for Gynecology and Obstetrics “Mother Teresa” – Skopje, R. North Macedonia
  • Bashkim Ismaili Specialized Hospital for Gynecology and Obstetrics “Mother Teresa” – Skopje, R. North Macedonia
  • Shenol Tahir University Clinic for Surgical Diseases "St. Naum Ohridski" - Skopje, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, R. North Macedonia
  • Ana Kocevska Specialized Hospital for Gynecology and Obstetrics “Mother Teresa” – Skopje, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, R. North Macedonia
  • Kristina Skeparovska Specialized Hospital for Gynecology and Obstetrics “Mother Teresa” – Skopje, Faculty of Medicine, Ss Cyril and Methodius University in Skopje, R. North Macedonia

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.


Keywords: cornual pregnancy, ectopic pregnancy, transvaginal ultrasonography, laparoscopic cornuostomy.


https://doi.org/10.55302/JMS2251039g

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Published
2022-05-04
How to Cite
GEORGIEV, Dimitar et al. A CASE OF CORNUAL ECTOPIC PREGNANCY THAT WAS SUCCESFULLY LAPAROSCOPICALLY TREATED. Journal of Morphological Sciences, [S.l.], v. 5, n. 1, p. 39-43, may 2022. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/vol5no1-5>. Date accessed: 03 dec. 2022.
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Articles