title: First ever case of spontaneous triplet cornual pregnancy: management of laparoscopic cornual resection with modified endoloop method.
abstract: A 23-year-old woman, gravida 2 para 0, presented at 8 weeks gestation with a spontaneously conceived triplet cornual ectopic pregnancy. She was at high risk of ectopic pregnancy as she had been previously treated for pelvic inflammatory disease and had also undergone laparoscopic salpingostomy for right-sided ectopic pregnancy. She was clinically stable and her abdomen was soft and non-tender. The diagnosis was made on transvaginal ultrasound scan and this was confirmed on the three-dimensional scan. She was counselled about her treatment options and subsequently underwent laparoscopic cornual resection using the modified endoloop method. The estimated blood loss was 20 ml intraoperatively and the patient recovered well. She subsequently conceived spontaneously with an intrauterine pregnancy and underwent lower segment caesarean section at 37 weeks in view of previous laparoscopic cornual resection. Intraoperatively, the right cornua appeared normal and there was no sign of thinning.
authors.affiliation: Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
authors.forename: Arundhati
authors.initials: A
authors.lastname: Gosavi
authors.affiliation: Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
authors.forename: Li Min
authors.initials: LM
authors.lastname: Lim
authors.affiliation: Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
authors.forename: Anupriya
authors.initials: A
authors.lastname: Agarwal
authors.affiliation: Department of Obstetrics and Gynaecology, National University Hospital, Singapore, Singapore.
authors.forename: Yoke Fai
authors.initials: YF
authors.lastname: Fong
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D037001:Directive Counseling / Q000379:methods*; D005260:Female; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy; D011247:Pregnancy; D065173:Pregnancy, Cornual / Q000000981:diagnostic imaging / Q000601:surgery*; D011272:Pregnancy, Multiple; D058994:Salpingectomy / Q000379:methods*; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal