Abstract
Ectopic pregnancy is a serious diagnosis occurring in 1-2% of all pregnancies, causing significant morbidity and mortality if unrecognized. Management of ruptured ectopic pregnancy typically includes salpingectomy, which decreases the risk for repeat ectopic pregnancies. In rare cases after salpingectomy, non-viable implantation may occur on the ipsilateral side of prior surgery. We present a patient with a cornual pregnancy on the ipsilateral side of her prior ectopic pregnancy and salpingectomy.
Highlights
An ectopic pregnancy is embryonic implantation in a location outside of the uterine cavity
We present a unique case of a cornual pregnancy on the ipsilateral side of a previous ectopic pregnancy status post salpingectomy
Ectopic pregnancy is defined as any pregnancy that implants outside of the uterine cavity, occurring in the fallopian tube in 95% of cases [4,5]
Summary
An ectopic pregnancy is embryonic implantation in a location outside of the uterine cavity. 2-4% of ectopic pregnancies are cornual (often referred to as interstitial) pregnancies, or a pregnancy where the embryo implants in the junction between the fallopian tube and the uterus [3] This predominantly non-viable form of ectopic pregnancy can result in increased morbidity and mortality due to myometrial distensibility and delayed diagnosis and increased risk of rupture [3]. The patient was concerned because her last pregnancy, which was terminated three months prior to presentation, resulted in a left-sided ectopic pregnancy, requiring a left salpingectomy Of note, this current pregnancy was natural, unassisted by fertility treatments. This current pregnancy was natural, unassisted by fertility treatments On examination, her blood pressure was 119/72 mm Hg, heart rate 66 beats per minute, respiratory rate 18 breaths per minute, oxygen saturation 98% on room air, and oral temperature 98.0 degrees Fahrenheit.
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