Rare Site of Ectopic Pregnancy in a Patient with Bicornuate Uterus

Abstract

Ectopic pregnancy occurs in about 1-2% in normal cycles but in IVF cycles the rate jumps to 4%. No definite cause for ectopic pregnancy was detected, but many risk factors were described as abnormal tube, pelvic infection, or surgery. In this case report we found 2 abnormalities in eight-year infertile woman; the first abnormality was bicornuate uterus and the second abnormality was the site of ectopic pregnancy which was in between the two horns of uterus. ‎This is the only case reported with primary abdominal pregnancy with bicornuate uterus and both healthy ovaries and tubes.‎ The case was unstable and managed by laparotomy and repair of ectopic site after enucleation of sac using Vicryl 2/0. The case was discharged 24 hours after operation in good health.

Primary omental pregnancy in a subseptate uterus: A novel case report and literature review

“…Previous reports of ectopic pregnancies in septate or subseptate uteri are limited and describe interstitial or cornual pregnancies [ 16 , 17 ], but none in the abdomen. For the sake of illustration, a report by Shehata et al is worth discussion, where a primary abdominal pregnancy was discovered located on the peritoneum in a patient with a bicornuate uterus [ 18 ]. Several authors report that the distinction between bicornuate and septate uteri is ambiguous and sometimes inaccurate [ 19 , 20 ].…”

“…Several authors report that the distinction between bicornuate and septate uteri is ambiguous and sometimes inaccurate [ 19 , 20 ]. In this article, the gestational sac was implanted on the peritoneum between the two horns of uterus, illustrating that perhaps a malformed uterus, particularly of the bicornuate or septate type, increases the risk of abdominal implantation [ 18 ].…”