DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20204836

A missed cornual ectopic pregnancy: a case report

James K. Prah, Leonard Derkyi-Kwarteng

Abstract


Ectopic pregnancies continue to be among the leading causes of maternal mortality globally. Cornual pregnancies are types of ectopic pregnancies that occur in the interstitial part of the fallopian tube and invades the uterine wall. We report a case of cornual ectopic pregnancy at 26 weeks that was missed and only diagnosed at autopsy following rupture and death of the pregnant woman. This case emphasizes the importance of a detailed carefully performed ultrasonography in the first trimester for all pregnant women.  


Keywords


Ectopic, Emergency, Pregnancy, Cornual, Rupture

Full Text:

PDF

References


Bouyer J, Coste J, Fernandez H, Pouly J, Job-Spira N. Sites of ectopic pregnancy: a 10-year population-based study of 1800 cases. Hum Reprod 2002;17(12):3224-30.

Sara HG, Uzelac PS. Early pregnancy risks. In: DeCherney AH, Nathan L, Goodwin MT, Laufer N, editors. Current Diagnosis and Treatment: Obstetrics and Gynecology. 10th ed. Columbus (OH): McGraw-Hill. 2007;259–72.

Molinaro T, Barnhart K. Ectopic pregnancies in unusual locations. Semin Reprod Med. 2007;25(2):123-30.

Nkyekyer K. Ectopic pregnancy in Ghana-time for change. Ghan Medic J. 2006;40(1):1–2.

World Health Organization. Maternal Mortality in 2000: Estimates by WHO: UNICEF, UNFPA. Geneva, Switzerland: WHO: 2004. Available at: http://www.childinfo.org/files/maternal_mortality_in_2000.pdf. Accessed on 12 June 2020.

Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF. 2018. Ghana Maternal Health Survey 2017: Key Findings. Rockville, Maryland, USA: GSS, GHS, and ICF.

Der EM, Moyer C, Gyasi RK, Akosa AB, Tettey Y, Akakpo PK, et al. Pregnancy related causes of deaths in Ghana: A 5-year retrospective study. Gha Medic J. 2013;47(4).

Panti A, Ikechukwu NE, lukman OO, Yakubu A, Egondu SC, Tanko BA. Ectopic pregnancy at Usmanu Danfodiyo University Teaching Hospital Sokoto: a ten-year review. Ann Niger Med. 2012;6(2):87–91.

Abdul FI. Ectopic pregnancy in Ilorin: a review of 278 cases. Niger J Med. 2000;9(3):92–6.

Erickson BT. Ectopic pregnancy. In: Bader T, editor. Ob/Gyn Secrets. 3rd ed. Maryland Heights (MO): Mosby 2007;109–13.

Lawani Osaheni, Anozie Okechukwu B, Ezeonu PO. Ectopic pregnancy: a life-threatening gynecological emergency. Int J Wom Heal. 2013;5

Malinowski A, Bates S. Semantics and pitfalls in the diagnosis of cornual/ interstitial pregnancy. Fertil Steril. 2006;86(6):1764.e11-4.

Soriano D, Vicus D, Mashiach R, Schiff E, Seidman D, Goldenberg M. Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases. Fertil Steril. 2008;90(3):839-43.

Tang A, Baartz D, Khoo S. A medical management of interstitial ectopic pregnancy: a 5-year clinical study. Aust N Z J Obstet Gynaecol. 2006;46(2):107- 11.