Spontaneous Cornual Pregnancy after Homolateral Salpingectomy for an Earlier Tubal Pregnancy: A Case Report and Literature Review

Pluchino, Nicola; Ninni, Filippo; Angioni, Stefano; Carmignani, A; Genazzani, Andrea Riccardo; Cela, Vito

doi:10.1016/j.jmig.2008.11.008

Cited by 25 publications

(19 citation statements)

References 26 publications

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“…Possible causes of uterine rupture in the latter group include e.g. abnormal placentation or interstitial pregnancy defined as ectopic gestation, in which an embryo implants outside of the uterine cavity within the cornual portion of the fallopian tube [11,12,13,14,15,16,17,18,19]. Labor induction with prostaglandins or oxytocin, fetal malpresentation, labor dystocia, delivery after ≥42 gestational weeks, fetal birth weight ≥4,000 g or advanced maternal age constitute other factors responsible for increased risk of uterine rupture [1,2,3].…”

Section: Resultsmentioning

confidence: 99%

“…The review of the literature also revealed another potential complication of salpingectomy that could lead to uterine rupture, namely interstitial pregnancy [11,12,13,14,15,16,17]. This rare type of ectopic pregnancy is responsible for approximately 2.4% of all extrauterine gestations [23].…”

Section: Resultsmentioning

confidence: 99%

“…Systemic methotrexate is a current first-line treatment for hemodynamically stable patients with interstitial pregnancy who meet the criteria for medical management [20]. In case of failure of pharmacologic treatment or in patients presenting with uterine rupture, laparotomic or laparoscopic cornual resection, cornuostomy or salpingectomy can be performed, depending on the patient's hemodynamic status and reproductive plans [16,19,20,21,24]. The literature review indicated that interstitial pregnancy was responsible for 67% of cases of uterine ruptures following salpingectomy.…”

Section: Resultsmentioning

confidence: 99%

“…164 potentially useful publications were retained, and during further selection 13 case reports and case series studies on uterine rupture in 18 pregnant women with a previous history of surgical removal of the fallopian tubes were identified. A summary of the selected publications is provided in table 1[5,6,7,8,9,10,11,12,13,14,15,16,17]. …”

Section: Methodsmentioning

confidence: 99%

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Spontaneous Rupture of the Pregnant Uterus following Salpingectomy: A Literature Review

Stanirowski

Trojanowski

Słomka

et al. 2015

Gynecol Obstet Invest

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Background: Spontaneous rupture of the uterus is a life-threatening obstetric complication in rare cases associated with previously performed salpingectomy. Aim: This paper presents an analysis of uterine rupture cases during pregnancy in patients after surgical removal of the fallopian tubes. Methods: The English and Polish language literature was reviewed for studies published between January 1, 1980 and September 30, 2014 to identify articles that described rupture of the uterus in women with a previous history of salpingectomy. Results: Thirteen case reports and case series studies in 18 women were identified. 33% of cases of uterine rupture following salpingectomy occurred during intrauterine pregnancy, whereas the rest was associated with interstitial ectopic pregnancy. Laparoscopic salpingectomy more often resulted in rupture of the uterus during non-ectopic pregnancy as compared to laparotomy (4 vs. 2 cases, respectively). When interstitial pregnancies were excluded, uterine rupture was a cause of fetal death in 67% of reported gestations. There were no cases of maternal mortality. Conservative treatment was the preferred management option, and total hysterectomy was performed in only 2 patients. Conclusion: Particular attention should be paid to patients with a previous history of salpingectomy due to the risk of uterine rupture throughout the entire pregnancy.

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