title: Spontaneous cornual pregnancy after homolateral salpingectomy for an earlier tubal pregnancy: a case report and literature review.
abstract: Cornual pregnancy is an infrequent pathological condition with severe prognosis if not adequately recognized. Ipsilateral salpingectomy represents a unique risk factor for this clinical entity. This article reports a laparoscopically treated spontaneous cornual pregnancy after homolateral salpingectomy for an earlier tubal pregnancy in a condition of hemodynamic instability as a result of cornual rupture. We include a review of the literature, underlining the feasibility of a laparoscopic approach and new treatment options combining medical and surgical tools with specific attention to their impact on future fertility and on risk of uterine rupture in a future pregnancy.
authors.affiliation: Department of Reproductive Medicine and Child Development, University of Pisa, Italy. nicola.pluchino@med.unipi.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Pluchino
authors.forename: Filippo
authors.initials: F
authors.lastname: Ninni
authors.forename: Stefano
authors.initials: S
authors.lastname: Angioni
authors.forename: Arianna
authors.initials: A
authors.lastname: Carmignani
authors.forename: Andrea Riccardo
authors.initials: AR
authors.lastname: Genazzani
authors.forename: Vito
authors.initials: V
authors.lastname: Cela
mesh_terms: D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011183:Postoperative Complications; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000601:surgery*; D012008:Recurrence; D012307:Risk Factors; D014597:Uterine Rupture / Q000209:etiology / Q000601:surgery*; D014599:Uterus / Q000601:surgery*