Submyomatous Cornual Pregnancy Managed surgically after failed medical management
Journal Title: Sultan Qaboos University Medical Journal - Year 2011, Vol 11, Issue 3
Abstract
Cornual pregnancy constitutes an emergency while its diagnosis and management remain a challenge. Anatomical abnormalities in the uterus, such as fbroids in the cornual region, make the management even more difficult. A nulliparous patient presented with an ectopic pregnancy at the right cornua under a huge fbroid. Despite multiple doses of methotrexate for a cornual ectopic gestation, the serum beta human chorionic gonadotropin (β-hcG) levels doubled on the ffth day and a viable fetus was demonstrated on imaging. Tus surgical intervention in the form of laparoscopy followed by laparotomy, myomectomy of a large cornual fbroid and cornuostomy was performed. Te serum beta human chorionic gonadotropin result was negative three weeks later. Surgical intervention in the form of myomectomy and cornuostomy was necessary to preserve fertility in this unusual presentation of cornual ectopic pregnancy.
Authors and Affiliations
Lamya Al-Kharusi| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman, Vaidyanathan Gowri| Department of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat,Oman, Rashid Al-Sukaiti| Department of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat,Oman, Wadha Al-Ghafri| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman, Kuntal Rao| Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman
Keywords
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