Submyomatous cornual pregnancy: Managed surgically after failed medical management

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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
Issue number3
Publication statusPublished - Aug 2011



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

ASJC Scopus subject areas

  • Medicine(all)

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