Submyomatous cornual pregnancy

Managed surgically after failed medical management

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Cornual pregnancy constitutes an emergency while its diagnosis and management remain a challenge. Anatomical abnormalities in the uterus, such as fibroids in the cornual region, make the management even more difficult. A nulliparous patient presented with an ectopic pregnancy at the right cornua under a huge fibroid. Despite multiple doses of methotrexate for a cornual ectopic gestation, the serum beta human chorionic gonadotropin (β-hcG) levels doubled on the fifth day and a viable fetus was demonstrated on imaging. Thus surgical intervention in the form of laparoscopy followed by laparotomy, myomectomy of a large cornual fibroid and cornuostomy was performed. The serum beta human chorionic gonadotropin result was negative three weeks later. Surgical intervention in the form of myomectomy and cornuostomy was necessary to preserve fertility in this unusual presentation of cornual ectopic pregnancy.

Original languageEnglish
Pages (from-to)399-402
Number of pages4
JournalSultan Qaboos University Medical Journal
Volume11
Issue number3
Publication statusPublished - Aug 2011

Fingerprint

Uterine Myomectomy
Leiomyoma
Ectopic Pregnancy
Chorionic Gonadotropin
Serum
Methotrexate
Laparoscopy
Laparotomy
Uterus
Fertility
Fetus
Emergencies
Pregnancy
Cornual Pregnancy

Keywords

  • Case report
  • Diagnosis
  • Ectopic pregnancy
  • Fibroid
  • Leiomyoma
  • Methotrexate
  • Oman
  • Surgery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{6b7d9640ec014f8ca9e77a5d2e588d7f,
title = "Submyomatous cornual pregnancy: Managed surgically after failed medical management",
abstract = "Cornual pregnancy constitutes an emergency while its diagnosis and management remain a challenge. Anatomical abnormalities in the uterus, such as fibroids in the cornual region, make the management even more difficult. A nulliparous patient presented with an ectopic pregnancy at the right cornua under a huge fibroid. Despite multiple doses of methotrexate for a cornual ectopic gestation, the serum beta human chorionic gonadotropin (β-hcG) levels doubled on the fifth day and a viable fetus was demonstrated on imaging. Thus surgical intervention in the form of laparoscopy followed by laparotomy, myomectomy of a large cornual fibroid and cornuostomy was performed. The serum beta human chorionic gonadotropin result was negative three weeks later. Surgical intervention in the form of myomectomy and cornuostomy was necessary to preserve fertility in this unusual presentation of cornual ectopic pregnancy.",
keywords = "Case report, Diagnosis, Ectopic pregnancy, Fibroid, Leiomyoma, Methotrexate, Oman, Surgery",
author = "Lamya Al-Kharusi and Vaidyanathan Gowri and Rashid Al-Sukaiti and Wadha Al-Ghafri and Kuntal Rao",
year = "2011",
month = "8",
language = "English",
volume = "11",
pages = "399--402",
journal = "Sultan Qaboos University Medical Journal",
issn = "2075-051X",
publisher = "Sultan Qaboos University",
number = "3",

}

TY - JOUR

T1 - Submyomatous cornual pregnancy

T2 - Managed surgically after failed medical management

AU - Al-Kharusi, Lamya

AU - Gowri, Vaidyanathan

AU - Al-Sukaiti, Rashid

AU - Al-Ghafri, Wadha

AU - Rao, Kuntal

PY - 2011/8

Y1 - 2011/8

N2 - Cornual pregnancy constitutes an emergency while its diagnosis and management remain a challenge. Anatomical abnormalities in the uterus, such as fibroids in the cornual region, make the management even more difficult. A nulliparous patient presented with an ectopic pregnancy at the right cornua under a huge fibroid. Despite multiple doses of methotrexate for a cornual ectopic gestation, the serum beta human chorionic gonadotropin (β-hcG) levels doubled on the fifth day and a viable fetus was demonstrated on imaging. Thus surgical intervention in the form of laparoscopy followed by laparotomy, myomectomy of a large cornual fibroid and cornuostomy was performed. The serum beta human chorionic gonadotropin result was negative three weeks later. Surgical intervention in the form of myomectomy and cornuostomy was necessary to preserve fertility in this unusual presentation of cornual ectopic pregnancy.

AB - Cornual pregnancy constitutes an emergency while its diagnosis and management remain a challenge. Anatomical abnormalities in the uterus, such as fibroids in the cornual region, make the management even more difficult. A nulliparous patient presented with an ectopic pregnancy at the right cornua under a huge fibroid. Despite multiple doses of methotrexate for a cornual ectopic gestation, the serum beta human chorionic gonadotropin (β-hcG) levels doubled on the fifth day and a viable fetus was demonstrated on imaging. Thus surgical intervention in the form of laparoscopy followed by laparotomy, myomectomy of a large cornual fibroid and cornuostomy was performed. The serum beta human chorionic gonadotropin result was negative three weeks later. Surgical intervention in the form of myomectomy and cornuostomy was necessary to preserve fertility in this unusual presentation of cornual ectopic pregnancy.

KW - Case report

KW - Diagnosis

KW - Ectopic pregnancy

KW - Fibroid

KW - Leiomyoma

KW - Methotrexate

KW - Oman

KW - Surgery

UR - http://www.scopus.com/inward/record.url?scp=80052750675&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052750675&partnerID=8YFLogxK

M3 - Article

VL - 11

SP - 399

EP - 402

JO - Sultan Qaboos University Medical Journal

JF - Sultan Qaboos University Medical Journal

SN - 2075-051X

IS - 3

ER -