Spontaneous cornual pregnancy after homolateral salpingectomy for an earlier tubal pregnancy: a case report and literature review.
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.
Pluchino
Nicola
N
Department of Reproductive Medicine and Child Development, University of Pisa, Italy. nicola.pluchino@med.unipi.it
Ninni
Filippo
F
Angioni
Stefano
S
Carmignani
Arianna
A
Genazzani
Andrea Riccardo
AR
Cela
Vito
V
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*