Hysteroscopic management of cornual ectopic pregnancy

Abstract

Hysteroscopic removal under sonographic guidance after methotrexate treatment is a conservative option for the treatment of cornual ectopic pregnancy in some patients.

Laparoscopic treatment of interstitial twin pregnancy

“…The surgical techniques reported by various authors can be conservative or radical by laparotomic or laparoscopic access: cornual resection (2,11,12), cornuostomy (13,14), salpingotomy (11,15), or hysterectomy (2,16). Sanz and Verosko (16) reported the case of an early cornual pregnancy successfully treated with the removal of the gestational sac using ultrasound-guided operative hysteroscopy.…”

Hysteroscopic diagnosis of interstitial ectopic pregnancy

“…In the treatment of interstitial pregnancy, hysteroscopic removal of residual gestational tissue high in the cornua has been described. 4,5 Hysteroscopy has also been used to differentiate between ectopic pregnancy and a non-viable uterine pregnancy when viable uterine pregnancy has been ruled out. 6 Methotrexate has been reported as an option to surgery however a high failure rate is seen in the presence of raised initial beta hCGs ( > 1000 iu/L) 1 and both immediate and delayed catastrophic haemorrhage has occurred.…”

Author's reply

“…The term cornual ectopic pregnancy refers to an ectopic pregnancy that has implanted in the interstitial portion of the fallopian tube. 1 Transvaginal sonography was helpful in the diagnosis but not conclusive. In our case, the suspicion of a cornual (interstitial) pregnancy arose because the endometrial stripe was only visualised lateral to the gestational sac, which was surrounded by very thin myometrium.…”