2019, Number 02
Ginecol Obstet Mex 2019; 87 (02)
Pérez-Bretones J, Frías-Sánchez Z, Pantoja-Garrido M, Aguilar-Martín V, Jiménez-Rámila C, Rojo-Novo S
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ABSTRACTBackground: Ectopic pregnancy (EP) is one of the most common gynecological emergencies, and worldwide causes more than three-quarters of maternal deaths produced during the first trimester of pregnancy. Among the different locations of the extrauterine pregnancy, an interstitial pregnancy accounting for only 2-4% of total ectopic pregnancy. A cornual pregnancy is defined as ectopic pregnancy that is implanted in the intramural part of the Fallopian tube, covered in its entirety by the myometrium.
Clinic case: Patient with a history of a tubal ectopic pregnancy and a posterior ipsilateral ectopic pregnancy in the tubal remnant of the previous surgery, diagnosed by ultrasound of a new ectopic pregnancy, this time cornual in the same place, treated by surgical laparotomic cuneiform resection, with good results therapeutic.
Conclusion: The diagnosis of this entity is a challenge at present, since patients usually present symptoms in an advanced stage of the disease, causing a uterine rupture (and massive intraabdominal hemorrhage) in 20% of cases over 12 weeks . Therefore, early diagnosis is the key to success in the treatment of this rare pathology, while allowing good results for patients with interstitial pregnancy.