Cornual ectopic pregnancy

Pantigoso Gutiérrez D.F.; Oscátegui-Peña M.E.; Machaca-Zevallos R.J. · Revista Cubana de Obstetricia y Ginecologia (2024)

Resumen

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. Early detection and a high index of suspicion are decisive to reduce the morbidity and mortality related to this condition. Objective: To report a clinical case of first trimester cornual ectopic pregnancy, describing the first diagnostic guidelines. Case report: 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. 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.

Instituciones: Universidad Peruana de Ciencias Aplicadas; Universidad Privada del Norte