UNRUPTURED RIGHT CORNUAL ECTOPIC PREGNANCY: A RARE CASE REPORT

Dr. Twinkle Sood*

ABSTRACT

Ectopic pregnancy is defined as the implantation and development of the blastocyst at a site other than the endometrial lining of the uterine cavity. Globally, it is the leading cause of maternal mortality in the first trimester. Cornual pregnancy is a type of ectopic pregnancy that develops in the interstitial part of the fallopian tube. It is a rare type of ectopic pregnancy accounting for 2-4% of all tubal pregnancies. The most fatal complication of cornual pregnancy is uterine rupture and massive haemorrhage that usually occurs at advanced gestation (12-16 weeks). I report a case of 35 year G2P1+0 (L1) at 13 weeks of gestation who presented to the emergency with the complaint of right abdominal pain and irregular vaginal bleeding. A clinical diagnosis of ectopic pregnancy was made and was confirmed on ultrasonography .She underwent laparotomy and was found to have right unruptured cornual ectopic pregnancy. Cornual resection with right salpingectomy and uterine reconstruction was done. The aim of this case report is to sensitise the clinicians regarding this rare presentation, timely diagnosis and management to prevent maternal mortality.

Keywords: Ectopic Pregnancy, cornual pregnancy, haemorrhage, resection.