Abstract

A 24-year-old pregnant women, gravida 3, para 3 (G3P3), was admitted at 29 weeks of gestational age, for vomiting and abdominal pain. Her pregnancy was poorly followed.

At initial examination the patient was hemodynamically stable, there was no metrorrhagia, but she had a remarkable diffuse abdominal tenderness.

The gynecologist ultrasonography report described a single live intrauterine fetus, with severe intrauterine growth restriction (IUGR), a moderate pelvic effusion, with no other abnormalities. The abdominal ultrasound couldn’t find any other abnormalities.

The patient state rapidly deteriorated raising the doubt of a surgical non obstetrical emergency. A computed tomography (CT) scan of the abdomen and the pelvis was then performed since the MRI machine wasn’t available at our institution. CT revealed an unsuspected ruptured cornual ectopic pregnancy with moderate hemoperitoneum.

The patient was immediately rushed to the operation room. The operation consisted in a podalic extraction of a male newborn, resection of the right horn and right adnexectomy.

The post-operative follow-up was simple. The newborn was admitted in the neonatal unit. However, he passed away at the age of 15 days.

Keywords: Ectopic Pregnancy; Corneal Pregnancy; Uterine Rupture; Hemoperitoneum; Computed Tomography

References

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Citation

Citation: Imen Ganzoui., et al. “A Rare Case of Unsuspected Cornual Ectopic Pregnancy Discovered on CT”. Acta Scientific Women's Health 3.11 (2021): 11-14.

Copyright

Copyright: © 2021 Imen Ganzoui., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.