Hysteroscopic management of cornual ectopic pregnancy

Pal, Bhaskar

doi:10.1016/s1470-0328(03)02698-3

Cited by 8 publications

(10 citation statements)

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“…It can be particularly suitable for women who are reluctant to undergo medical treatment with methotrexate or in whom this treatment fails or is unavailable. 33 Minelli et al 34 17 Laparoscopy Cornual resection and uterine repair Faraj (2004) 18 12 Laparotomy Cornual resection and IVF, heterotopic, uterine repair alive twin Grimbizis et al (2004) 11 7 Laparoscopy Cornual resection and salpingectomy Brewer et al (2005) 19 28 Laparotomy Hysterectomy Alive baby Attia et al (2005) 20 17 Laparotomy Cornual resection and uterine repair Khawaja et al (2005) 21 NA Laparotomy Uterine artery ligation Takeda et al (2006) 22 Laparoscopy Cornual excision IVF = in vitro fertilisation; NA = not available; POC = products of conception Summary of reported cases of laparoscopic treatment of cornual pregnancy that operating interstitially was safe because the resection was performed under laparoscopic control.…”

Section: Hysteroscopic Managementmentioning

confidence: 99%

Management of cornual (interstitial) pregnancy

Faraj

Steel

2007

The Obstetric & Gynaecologis

115

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Key content:• The Confidential Enquiry into Maternal and Child Health report for 2000-02 stated that cornual pregnancy is a rare but dangerous type of ectopic pregnancy.• Four out of the 11 deaths from ruptured ectopic pregnancy were due to ruptured cornual pregnancy. In all four cases the diagnosis was made only after rupture.• Haemorrhage can be severe because pregnancy is often more developed than extrauterine tubal pregnancy and because of the large blood supply to the uterus.• Clinicians should be aware of the difficulties with both clinical and ultrasound diagnosis.• Many case reports have been written about sporadic cases of intact and ruptured cornual pregnancy and several treatment modalities discussed. There are very few publications collecting all management strategies, including both surgical and medical treatment, for this dangerous type of ectopic pregnancy. Learning objectives:• To understand recent advances in diagnosis and conservative laparoscopic and medical treatment.• To review the most reputable case reports discussing all modalities of treatment, including radical surgical and conservative laparoscopic methods and different types of medical treatment, with critical appraisal of each approach. Ethical issues:• How should a couple be counselled regarding future pregnancy risks and the optimum mode of delivery?

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Section: Hysteroscopic Managementmentioning

confidence: 99%

Management of cornual (interstitial) pregnancy

Faraj

Steel

2007

The Obstetric & Gynaecologis

115

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“…In order to avoid tubal rupture, the possibility of leaving the placenta in situ during transcervical evacuation of the gestational products under abdominal US guidance has also been reported, under the condition that an IM dose of methotrexate should be administered immediately after the operation ( 27 ). There are few cases treated by hysteroscopic management under sonographic guidance, or combination of laparoscopy, hysteroscopy, and ultrasound ( 28 , 29 ). Finally, hysterectomy is strictly limited to the cases of uncontrollable hemorrhage, very large interstitial pregnancies, co-existing uterine pathology indicating a hysterectomy or women without fertility desire ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Interstitial Pregnancy and Fertility Outcomes after Ipsilateral Salpingectomy â€“ Three Case Reports

et al. 2014

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Background: Interstitial pregnancy after ipsilateral salpingectomy is a rare event with potentially serious consequences. Optimal management strategy remains uncertain and debated. In addition, fertility sparing is determinant of the treatment choice.Cases: Here, we report three cases of interstitial pregnancy occurring after homolateral salpingectomy. We expose the therapeutic option held in all three situations, which associated laparoscopic procedure followed by intramuscular methotrexate injection with successful outcome for all patients. We also report the fertility outcome for the first patient, discussing the timing and mode of delivery. Cesarean section at term was performed for this patient.Conclusion: In these three situations, we obtained a successful result using a minimally invasive surgical approach combined with systemic methotrexate injection. Cesarean section at term for subsequent intrauterine pregnancy seems to be the safest delivery strategy, although no clear data exist in literature.

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“…With this technique, cornual endometrium is removed (including tubal ostium) under laparoscopic guidance [6].…”

Section: Hysteroscopic Managementmentioning

confidence: 99%

A Rare Case Report of Cornual Pregnancy

Shetty

Shivananjaiah

Swarup

et al. 2016

OGIJ

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Introduction: Cornual pregnancy is rare condition; its incidence remains 2-4% of all ectopic pregnancies. We are hereby reporting a case of cornual pregnancy managed by laparotomy.Case presentation: A cornual pregnancy was diagnosed at 10+2 weeks of amenorrhea in a 28-year-old healthy woman. Ultrasound examination showed a well-formed right cornual gestation with detectable fetal heart pulsation. We performed the right cornual resection with right salpingectomy by laparotomy. Conclusion:Cornual pregnancy is a very rare and potentially dangerous condition. Diagnosis of cornual pregnancy could be made on ultrasound examination in this patient. Laparotomy is preferred in patients with unstable vitals and ruptured cases where as the routine choice should be Laparoscopy as an alternative in confirming the diagnosis and further management.

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Hysteroscopic management of cornual ectopic pregnancy

Cited by 8 publications

References 0 publications

Management of cornual (interstitial) pregnancy

Management of cornual (interstitial) pregnancy

Laparoscopic Management of Interstitial Pregnancy and Fertility Outcomes after Ipsilateral Salpingectomy â€“ Three Case Reports

A Rare Case Report of Cornual Pregnancy

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