The patient was a 32-year-old woman, gravida three, para one with one prior cesarean section. She became pregnant spontaneously, but the pregnancy implanted in the isthmus of the right fallopian tube, and therefore, she underwent laparoscopic right salpingectomy. Eight months later, another spontaneous pregnancy occurred. the patient experienced abdominal pain and an ultrasound examination revealed a hematoma around the right cornual region. A wedge-shaped incision was made in the cornual pregnancy using monopolar cauterization, and the myometrium was sutured with a single nodule suture. We report a case of spontaneous cornual pregnancy after ipsilateral salpingectomy for an isthmic pregnancy.
An interstitial pregnancy accounts for only 1-2.5% of tubal pregnancies; however, the incidence of interstitial pregnancies is increasing as a result of artificial reproductive technology and the spread of sexually transmitted diseases such as Chlamydia tracomatis. Because of the difficulty of early diagnosis, the mortality rate of interstitial pregnancies is higher than that of other sites. We report a rare case of repeat ectopic pregnancy in the ipsilateral fallopian tube after
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