Ruptured cornual pregnancy: case report.
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.
Takei
T
T
Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine, Kobe, Japan. takei327@med.kobe-u.ac.jp
Matsuoka
S
S
Ashitani
N
N
Makihara
N
N
Morizane
M
M
Ohara
N
N
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*