RECURRENT CORNUAL ECTOPIC PREGNANCY – A CASE REPORT
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2015, Vol 4, Issue 4
Abstract
Cornual ectopic gestation is one of the causes of “Maternal near miss†cases. In the modern era of IVF treatments and better imaging techniques, more number of cases of cornual ectopic pregnancies is being diagnosed and treated both by conservative and radical methods. Here, we report a case of a recurrent cornual ectopic pregnancy in the early second trimester, which was managed by hysterectomy due to uncontrolled haemorrhage. Thirty five year old Mrs. S, Gravida 4, para2, with one previous ectopic pregnancy presented to the obstetric casualty with acute abdominal pain at 15 weeks +2 days of gestation. On vaginal examination, there was right fornicial fullness and both the fornices were tender. Cervical motion tenderness was also present. On review of her previous records, dating scan done at 8 to 9 weeks showed normal intrauterine pregnancy. An emergency scan was carried out which revealed an empty uterine cavity with gestational sac measuring 3.6×4.4×4.6 cms seen outside the uterus just above the fundus with absent cardiac activity. There was evidence of haemoperitoneum, therefore she was diagnosed with recurrent ruptured ectopic pregnancy.
Authors and Affiliations
Velayudam DA| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India, Radha Bai Prabhu T| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India, Email: radhaprabhu54@ymail.com, Dipenty Devi L| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India, Meenalochani P| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India, Isha Gutgutia| Department of Obstetrics & Gynaecology., Meenakshi Medical college and Research Institute, Kancheepuram, Tamilnadu, India
Keywords
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- EP ID EP11499
- DOI 10.5958/2319-5886.2015.00187.3
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