The incidence of cornual or interstitial pregnancy is approximately 2% of all pregnancies. Interstitial pregnancy is one of the rare form of ectopic pregnancies, with 1-6% of all ectopic pregnancies. In our case report, we present successful laparoscopic resection of a cornual pregnancy with positive fetal cardiac activity and laparoscopic suturing of cornu uteri. A 26-year-old pregnant; gravida 2, para 0, abortus 1; was admitted with a complaint of left lower quadrant abdominal pain. An ultrasound examination was performed. The ultrasound examination revealed a 4-cm ectopic gestational sac with positive cardiac activity in the left adnexa. Laparoscopy was planned. A left uterine approximately 3x4 cm cornual pregnancy was observed, under direct visualization, one 5-mm coagulating dissector was used to perform the resection and seal of the cornu uteri. After the sealing, two times laparoscopic suturing was applied. Detecting interstitial pregnancy is more difficult than revealing other ectopic pregnancy types. Severe hemorrhage could occur during the resection of the cornu uteri. Therefore, a laparoscopic approach should only be attempted if the surgeon is well skilled in laparoscopic technique, and has the capability to convert the operation quickly to a laparotomy.
Objective: Contraception prevents unintended pregnancy. Birth control has been used since ancient times. In this case report, we will discuss an old-fashioned method of contraception mimicking a cervical mass. Case report: A 100-year-old, according to her relatives but according to her identity card 96-year-old, woman was admitted to Zonguldak Bülent Ecevit University Health Application and Research Center Gynecology Clinic with a complaint of tenesmus. Under general anesthesia gently, a 4x4x3 cm cervical mass was extracted. It was grey in color, round and composed of a firm material. It was a piece of beeswax that had been inserted probably 60 years ago, used for contraception. Conclusion: In the Ottoman era, several plant roots, such as hibiscus root, were used as a as a contraceptive barrier method. However, some Turkish women still use traditional methods as seen in our patient. It is important to provide public education about safe contraceptive methods, especially before marriage to prevent unintended pregnancies.
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