Cornual ectopic pregnancy

Abstract

Introduction: cornual ectopic pregnancy is a pathology that contributes 10% to the maternal mortality rate in the first trimester of pregnancy and constitutes one of the three main causes of maternal death worldwide.

Objective: to report a clinical case of first trimester cornual ectopic pregnancy, describing the first diagnostic guidelines.

Clinical Case: a 31-year-old patient, primiparous with 7 weeks of amenorrhea with a clinical picture of 7 days of evolution characterized by pelvic pain predominantly on the left, and for the past 3 days she has presented small amounts of dark red transvaginal bleeding associated with abdominal pain. oppressive type. A transvaginal ultrasound was performed that revealed an anteverse flexed uterus, enlarged, and in the left cornual region an image of a nodular mass measuring 40 x 45 mm, compatible with a gestational sac, a single embryo without cardiac activity, normal adnexa, without free liquid. After the surgical intervention, the patient evolved favorably, being discharged on the third postoperative day.

Discussion: cornual ectopic pregnancy is a rare subtype, with high maternal morbidity and mortality. Its diagnosis is difficult, because in the ultrasound examination the embryo seems to be located inside the uterus. Cornual pregnancy is more dangerous than other types of ectopic pregnancy, since its rupture can cause acute and severe bleeding.  Early diagnosis allows conservative treatment

Conclusions: the diagnosis of cornual ectopic pregnancy remains difficult to establish, early detection of cornual ectopic pregnancy and a high index of suspicion are decisive to reduce morbidity and mortality.