Laparoscopy for Rudimentary Horn and Interstitial Pregnancy

Abstract

Abstract Background: Rudimentary horn and interstitial pregnancies are uncommon varieties of ectopic gestation, and are at times referred to as “cornual” pregnancies. These ectopic pregnancies present a diagnostic dilemma and a management challenge, and traditionally have been managed by laparotomy. Cases: Two cases of ectopic pregnancy are discussed, one in the rudimentary horn and one in the interstitial segment of the Fallopian tube. The first was managed by laparoscopic resection of the gravid rudimentary horn. The second was managed by laparoscopic wedge resection of cornual pregnancy. The associated literature is also reviewed. Results: The postoperative period until discharge was uneventful for both patients. The first patient had regular follow-up for 3 months. The second patient was lost to follow-up. Conclusions: Rudimentary horn and interstitial pregnancies can be managed successfully by minimally invasive surgery if detected early in an institution with experienced surgeons and adequate facili...