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 language | English |
|---|---|
| Pages (from-to) | 399-402 |
| Number of pages | 4 |
| Journal | Sultan Qaboos University Medical Journal |
| Volume | 11 |
| Issue number | 3 |
| Publication status | Published - Aug 2011 |
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Keywords
- Case report
- Diagnosis
- Ectopic pregnancy
- Fibroid
- Leiomyoma
- Methotrexate
- Oman
- Surgery
ASJC Scopus subject areas
- Medicine(all)
Cite this
Submyomatous cornual pregnancy : Managed surgically after failed medical management. / Al-Kharusi, Lamya; Gowri, Vaidyanathan; Al-Sukaiti, Rashid; Al-Ghafri, Wadha; Rao, Kuntal.
In: Sultan Qaboos University Medical Journal, Vol. 11, No. 3, 08.2011, p. 399-402.Research output: Contribution to journal › Article
}
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 -