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Related Experiment Videos

Ruptured cornual pregnancy.

Munawar Hussain1, Haleema Yasmeen, Khursheed Noorani

  • 1Department of Obstetrics/Gynaecology, Jinnah Postgraduate Medical Centre, Karachi. dr_hussain@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|January 1, 2004
PubMed
Summary

A rare case of a ruptured cornual pregnancy at 29 weeks gestation was successfully treated. A live baby was delivered following cornual resection and uterine repair, highlighting successful management of this high-risk pregnancy.

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Area of Science:

  • Obstetrics and Gynecology
  • Reproductive Medicine
  • Surgical Case Reports

Background:

  • Cornual pregnancy, a rare form of ectopic pregnancy occurring in the uterine horn, poses significant risks including rupture and hemorrhage.
  • Delayed diagnosis and management can lead to severe maternal morbidity and mortality.

Observation:

  • A patient presented with a 7-day history of lower abdominal and epigastric pain, with 30 weeks of amenorrhea.
  • Ultrasound indicated a 29-week abdominal pregnancy with hemoperitoneum.
  • Laparotomy revealed a ruptured right cornual pregnancy.

Findings:

  • The ruptured right cornual pregnancy was surgically managed with cornual resection and uterine repair.
  • A live male infant weighing 1 kg was delivered from the resected uterine cornu.

Implications:

  • This case underscores the importance of considering ectopic pregnancy even in advanced gestations.
  • Successful surgical intervention, including cornual resection, can achieve fetal salvage in complex cornual pregnancy cases.
  • Highlights the critical role of prompt diagnosis and surgical expertise in managing life-threatening obstetric emergencies.

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