title: Ruptured cornual pregnancy: case report.
abstract: Cornual pregnancy is uncommon among ectopic pregnancies. A diagnosis of cornual pregnancy remains challenging, and rupture of a cornual pregnancy causes catastrophic consequence due to massive bleeding. We report a case of a ruptured cornual pregnancy occurring at 12 weeks of gestation. A 34-year-old woman was suspected of having a left cornual pregnancy at 11 weeks of gestation. Transabdominal ultrasound and magnetic resonance imaging revealed an eccentric localization of a gestational sac containing a viable fetus outside the uterine cavity adjacent to the left uterine cornua. The gestational sac was surrounded with a thin myometrial layer. The patient developed a rupture of the left cornual pregnancy with unstable hemodynamics. She underwent emergency laparotomy, which revealed the ruptured left cornual pregnancy with a hemoperitoneum. Cornual resection was performed. The pathological examination confirmed a ruptured cornual pregnancy.
authors.affiliation: Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine, Kobe, Japan. takei327@med.kobe-u.ac.jp
authors.forename: T
authors.initials: T
authors.lastname: Takei
authors.forename: S
authors.initials: S
authors.lastname: Matsuoka
authors.forename: N
authors.initials: N
authors.lastname: Ashitani
authors.forename: N
authors.initials: N
authors.lastname: Makihara
authors.forename: M
authors.initials: M
authors.lastname: Morizane
authors.forename: N
authors.initials: N
authors.lastname: Ohara
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D016216:Ultrasonography, Prenatal; D014597:Uterine Rupture / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D014599:Uterus / Q000473:pathology*