Submyomatous Cornual Pregnancy : Managed surgically after failed medical management

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 und...

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Main Authors: Lamya Al-Kharusi, Vaidyanathan Gowri, Rashid Al-Sukaiti, Wadha Al-Ghafri, Kuntal Rao
Format: Article
Language:English
Published: Sultan Qaboos University 2011-12-01
Series:Sultan Qaboos University Medical Journal
Subjects:
Online Access:https://journals.squ.edu.om/index.php/squmj/article/view/1608
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spelling doaj-f1afecc428cc404f9a3e743c3d0abf462020-11-25T03:25:58ZengSultan Qaboos UniversitySultan Qaboos University Medical Journal 2075-051X2075-05282011-12-011133994021534Submyomatous Cornual Pregnancy : Managed surgically after failed medical managementLamya Al-Kharusi0Vaidyanathan Gowri1Rashid Al-Sukaiti2Wadha Al-Ghafri3Kuntal Rao4Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, OmanDepartment of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat,Oman.Department of Obstetrics & Gynaecology, College of Medicine & Health Sciences, Sultan Qaboos University, Muscat,Oman.Departments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, OmanDepartments of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, OmanCornual 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.https://journals.squ.edu.om/index.php/squmj/article/view/1608diagnosisectopic pregnancyfibroidleiomyomamethotrexatesurgerycase reportoman
collection DOAJ
language English
format Article
sources DOAJ
author Lamya Al-Kharusi
Vaidyanathan Gowri
Rashid Al-Sukaiti
Wadha Al-Ghafri
Kuntal Rao
spellingShingle Lamya Al-Kharusi
Vaidyanathan Gowri
Rashid Al-Sukaiti
Wadha Al-Ghafri
Kuntal Rao
Submyomatous Cornual Pregnancy : Managed surgically after failed medical management
Sultan Qaboos University Medical Journal
diagnosis
ectopic pregnancy
fibroid
leiomyoma
methotrexate
surgery
case report
oman
author_facet Lamya Al-Kharusi
Vaidyanathan Gowri
Rashid Al-Sukaiti
Wadha Al-Ghafri
Kuntal Rao
author_sort Lamya Al-Kharusi
title Submyomatous Cornual Pregnancy : Managed surgically after failed medical management
title_short Submyomatous Cornual Pregnancy : Managed surgically after failed medical management
title_full Submyomatous Cornual Pregnancy : Managed surgically after failed medical management
title_fullStr Submyomatous Cornual Pregnancy : Managed surgically after failed medical management
title_full_unstemmed Submyomatous Cornual Pregnancy : Managed surgically after failed medical management
title_sort submyomatous cornual pregnancy : managed surgically after failed medical management
publisher Sultan Qaboos University
series Sultan Qaboos University Medical Journal
issn 2075-051X
2075-0528
publishDate 2011-12-01
description 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.
topic diagnosis
ectopic pregnancy
fibroid
leiomyoma
methotrexate
surgery
case report
oman
url https://journals.squ.edu.om/index.php/squmj/article/view/1608
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AT vaidyanathangowri submyomatouscornualpregnancymanagedsurgicallyafterfailedmedicalmanagement
AT rashidalsukaiti submyomatouscornualpregnancymanagedsurgicallyafterfailedmedicalmanagement
AT wadhaalghafri submyomatouscornualpregnancymanagedsurgicallyafterfailedmedicalmanagement
AT kuntalrao submyomatouscornualpregnancymanagedsurgicallyafterfailedmedicalmanagement
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