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Cornual pregnancy after surgical treatment of an incarcerated fallopian tube: a case report.

Authors:
Gianluca Raffaello Damiani
Gianluca Raffaello Damiani
Alessandro Manzoni Hospital
Italy
Stefano Landi
Stefano Landi
University of Pisa
Italy
Massimo Tartagni
Massimo Tartagni
University of Bari
Italy
Stefano Bettocchi
Stefano Bettocchi
University of Bari
Italy
Giuseppe Loverro
Giuseppe Loverro
University of Bari
Bari | Italy
Antonio Pellegrino
Antonio Pellegrino
Tor Vergata University of Rome
Italy

J Reprod Med 2013 Nov-Dec;58(11-12):550-2

Department of Obstetrics and Gynecology, University of Bari, Policlinico of Bari, Bari, Italy.

Background: Incarceration of the fallopian tube is a rare condition. Symptoms are often misleading, making proper diagnosis difficult because of nonspecific clinical presentations. We report a case of cornual pregnancy occurring 7 months after the treatment of an incarcerated fallopian tube. We believe that the abnormal cornual implantation of the gestational sac was due to myometrial reconstruction of the uterine wall.

Case: A primigravid woman treated for the incarceration of a fallopian tube was subsequently found to have a cornual pregnancy in a septate uterus. The cornual pregnancy was successfully aborted after laparoscopic myometrial reconstruction, and a metroplasty allowed a subsequent pregnancy.

Conclusion: This hazardous type of ectopic pregnancy can be managed with systemic administration of methotrexate. If the cornual pregnancy is correctly identified at an early stage, this medical management can be attempted and offers the potential advantage of avoiding surgery and increasing the likelihood of preserving fertility.
April 2014
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