Abstract
Cornual pregnancy is rare form of ectopic pregnancy where implantation occurs in the cavity of a rudimentary horn of the uterus. It is the diagnostic and therapeutic challenge with potential sever consequence if uterine rupture occurs with massive intra abdominal haemorrhage .We report a case of misdiagnosed rupture cornual pregnancy occurring at 12 weeks gestation. First USG revealed intra uterine pregnancy. Repeat USG showed abdominal pregnancy sac but cornual pregnancy was not diagnosed and uterine anomaly was not detected. The correct diagnosis was made at emergency laparotomy. An intact pregnancy sac of 12weeks fetus was seen in abdominal cavity. Placenta and pregnancy sac was adherent to omentum and torn end of left cornu of the bicornuate uterus. Left sided cornu was resected keeping both the ovaries and tubes intact. DOI: http://dx.doi.org/10.3329/jom.v13i2.12763 J Medicine 2012; 13 : 227-229
Highlights
Cornual PregnancyAbstract : Cornual pregnancy is rare form of ectopic pregnancy where implantation occurs in the cavity of a rudimentary horn of the uterus
Cornual pregnancy is very rare (1 in 100,000 maternities) condition occurs in the atretic horn of bicornuate uterus and has a maternal mortality of 5%
In this from of ectopic pregnancy implantation occurs in the cavity of rudimentary horn of uterus
Summary
Abstract : Cornual pregnancy is rare form of ectopic pregnancy where implantation occurs in the cavity of a rudimentary horn of the uterus. An intact pregnancy sac of 12weeks fetus was seen in abdominal cavity. Hospital with the complaints of amenorrhea for 3 months and lower abdominal pain for last 10 days She developed amenorrhea for 12 weak with early sign symptoms of pregnancy. 10 days priror to her admission in DMCH she developed severe lower abdominal pain and syncopal attack. For this reason she was brought to a local hospital.There she was treated conservatively. She was discharged as a case of 12 weeks intra uterine viable pregnancy. Sonographic finding revealed empty uterus and in the abdominal cavity there is a intact pregnancy sac with[12] weeks size fetus within it.
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