Recurrent cornual ectopic pregnancy-A case report

Recurrent cornual pregnancy: a case report

“…In cornual pregnancy, the embryo is implanted lateral to the round ligament while in angular pregnancy, the embryo is implanted in the lateral angle of the uterine cavity, medial to the uterotubal junction and round ligament. 1 Cornual ectopic pregnancies are difficult to diagnose early and have the potential to progress into the second trimester due to the rich blood supply from branches of the uterine and ovarian vessels in addition to distensible myometrium surrounding the pregnancy. The consequences are often catastrophic in case of uterine rupture with profuse intraperitoneal bleeding.…”

“…It measures 1-2 cm with a diameter of 0.7 mm with a slightly tortuous course extending obliquely upwards and outwards from uterine cavity. 1 This section of tube is relatively thick, and it is located in highly vascular region. Therefore, cornual ectopic pregnancy tends to rupture later, with more severe bleeding than those of other ectopic pregnancies.…”

Interstitial Pregnancy- A Case Report

“…Interstitial pregnancy should not be confused with angular pregnancy, the latter in which the embryo is implanted in the lateral angle of the uterine cavity. (2,3) Proper diagnosis is mandatory, so as to avoid misdiagnosis of a normal pregnancy which can happen in pregnancy occurring in an anomalous uterus like bicornuate/ septate. However, 3D and 4D transvaginal ultrasound in experienced hand is a valuable tool in making accurate diagnosis in these situations and helps in differentiating between angular and interstitial pregnancies.…”

“…However, 3D and 4D transvaginal ultrasound in experienced hand is a valuable tool in making accurate diagnosis in these situations and helps in differentiating between angular and interstitial pregnancies. (3) The diagnosis before rupture is very difficult, as they appear to be in utero on USG. Moreover, due to the distensibility of the myometrium, the foetus tends to grow and rupture late around 7 -12 weeks leading to massive haemorrhage and shock.…”

“…Hence, the mortality rate is 2% -2.5% in interstitial pregnancy than other ectopics. (3) Interstitial pregnancy poses a great difficulty in early diagnosis as the gestational sac will be seen in an eccentric position, and the adjacent myometrium will be thinned out giving the appearance of an eccentric intrauterine pregnancy. (4) The USG Criteria are as follows-1.…”