Cornual Ectopic Pregnancy or Angular Pregnancy, Delayed Diagnosis and Treatment of a Pregnancy Complication: A Case Report

Authors

  • Cemile Dayangan Sayan Department of Gynecology and Obstetrics, Faculty of Medicine,
  • Ozlem Banu Tulmac Department of Gynecology and Obstetrics, Faculty of Medicine,
  • Zeynep Ozcan Dag Cornual pregnancy is a rare type of ectopic pregnancy and defines an implantation in the upper and lateral uterine cavity. Two to four percent of ectopic pregnancies occur in the interstitial portion of the fallopian tube. An angular pregnancy term is a pregnancy that is located in the lateral angle of the uterine cavity. In the literature there is some confusion about the terms cornual, interstitial and angular pregnancies. We reported a female patient presented to our hospital with an eleven-week history of amenorrhea with two ineffective D and Cs. We were unable to determine whether it was a cornual or angular pregnancy using sonographic examination. A definitive diagnosis of cornual pregnancy was made by laparoscopy and a cornual resection and repair was performed by laparotomy. Understanding the difference between cornual and angular pregnancy is clinically important due to their different management and outcome. Cornual pregnancy, which still remains the most significant cause of maternal mortality, should be considered, particularly in in cases of missed abortions in the first trimester, which are eccentrically located in the uterus.

Keywords:

Cornual, Ectopic pregnancy, Angular pregnancy, Laparotomy, Cornual resection.

Abstract

Cornual pregnancy is a rare type of ectopic pregnancy and defines an implantation in the upper and lateral uterine cavity. Two to four percent of ectopic pregnancies occur in the interstitial portion of the fallopian tube. An angular pregnancy term is a pregnancy that is located in the lateral angle of the uterine cavity. In the literature there is some confusion about the terms cornual, interstitial and angular pregnancies.

We reported a female patient presented to our hospital with an eleven-week history of amenorrhea with two ineffective D and Cs. We were unable to determine whether it was a cornual or angular pregnancy using sonographic examination. A definitive diagnosis of cornual pregnancy was made by laparoscopy and a cornual resection and repair was performed by laparotomy. Understanding the difference between cornual and angular pregnancy is clinically important due to their different management and outcome. Cornual pregnancy, which still remains the most significant cause of maternal mortality, should be considered, particularly in in cases of missed abortions in the first trimester, which are eccentrically located in the uterus.

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Published

2016-12-21

Issue

Vol. 3 No. 3 (2016)

Section

Articles

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