Liver vs Uterus – A Rare Case of Cornual Ectopic Pregnancy
Abstract
Implantation of the fertilised egg in any place other than the endometrial cavity or the uterus constitutes the term ectopic pregnancy. This can occur in any part of the abdominal cavity, with the fallopian tube being the most common location, including the cornua of the uterus, ovary and Cervix. Though the exact aetiology remains unknown, pelvic inflammatory disease (PID), previous ectopic gestation, pelvic surgeries, in vitro fertilisation, ipsilateral salpingectomy, infertility, history of medical termination of pregnancy, and certain types of contraception are considered risk factors. The most common method of diagnosis is by ultrasound – transabdominal or transvaginal. Treatment options include medical and surgical methods, depending on a number of factors like the gestational age, ultrasound findings, haemodynamic stability of the patient, beta HCG level and the patient’s desire for future fertility. Below is a rare case of how a cornual pregnancy presented to us with co-existing liver pathology. With the desire for future fertility taken into consideration, medical management was opted by the patient and executed. The patient showed good recovery and ectopic gestation was resolved.
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References
S Pokharel, G Dangal, A Karki, H K Pradhan, R Shrestha, K Battachan, and S Thapa. Ruptured Right Cornual Pregnancy. Nepal Journal of Obstetrics and Gynaecology, 13(1):51–53, 2018.
K M Harish, N Shwetha, and N Nalini. Incidence and risk factors associated with ectopic pregnancy: a prospective study. Int J Reprod Contracept Obstet Gynecol, 10(2):1–4, 2021.
M A Damario, J A Rock, J D Thompson, and TeLinde’s Operative Gynaecology. Ectopic pregnancy. pages 771–798, New York, 2016. Lippincott Williams & Wilkins. 11th Edition.
Radwan Faraj and Martin Steel. Management of cornual (interstitial) pregnancy. The Obstet Gynaecol, 9:4–249, 2007.
S Lau and T Tulandi. Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril, 72(2):242–245, 1999.
N Naredi, K Sandeep, and K D Jamwal. Interstitial implantation in a setting of recurrent ectopic pregnancy: A rare combination. MedJ Armed forces India, 71(2):194–200, 2015.
M Shetty, C Shivananjaiah, A Swarup, N Sharma, and N Sharma. A Rare Case Report of Cornual Pregnancy. Obstet Gynecol Int J, 5(6):179–179, 2016.
H Warda, M M Mamik, M Ashraf, and M I Abuzeid. Interstitial ectopic pregnancy: Conservative surgical management. JSLS, 18(2):197– 203, 2014.
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