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Ginecología y obstetricia de México

Print version ISSN 0300-9041

Abstract

PEREZ-BRETONES, Juan et al. Cornual ectopic pregnancy in a patient with two previous ipsilateral ectopic pregnancies. Ginecol. obstet. Méx. [online]. 2019, vol.87, n.2, pp.133-138.  Epub Mar 25, 2021. ISSN 0300-9041.  https://doi.org/10.24245/gom.v87i2.2535.

BACKGROUND:

Ectopic pregnancy (EP) is one of the most common gynecological emergencies, and worldwide causes more than three-quarters of maternal deaths produced during the first trimester of pregnancy. Among the different locations of the extrauterine pregnancy, an interstitial pregnancy accounting for only 2-4% of total ectopic pregnancy. A cornual pregnancy is defined as ectopic pregnancy that is implanted in the intramural part of the Fallopian tube, covered in its entirety by the myometrium.

CLINICAL CASE:

Patient with a history of a tubal ectopic pregnancy and a posterior ipsilateral ectopic pregnancy in the tubal remnant of the previous surgery, diagnosed by ultrasound of a new ectopic pregnancy, this time cornual in the same place, treated by surgical laparotomic cuneiform resection, with good results therapeutic.

CONCLUSION:

The diagnosis of this entity is a challenge at present, since patients usually present symptoms in an advanced stage of the disease, causing a uterine rupture (and massive intraabdominal hemorrhage) in 20% of cases over 12 weeks . Therefore, early diagnosis is the key to success in the treatment of this rare pathology, while allowing good results for patients with interstitial pregnancy.

Keywords : Cornual pregnancy; Recurrent ectopic pregnancy; Abdominal surgery; Pregnancy complications.

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