Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Case Report Volume 3 Issue 11

A Rare Case of Unsuspected Cornual Ectopic Pregnancy Discovered on CT

Imen Ganzoui*, Mariam Balti, Dorsaf Nouri and Ben Jemaa Ilef

Radiology Department, University of Tunis El Manar, University Hospital of Bizerte, Tunisia

*Corresponding Author: Imen Ganzoui, Head of Radiology Department, University of Tunis El Manar, University Hospital of Bizerte, Tunisia.

Received: August 27, 2021; Published: October 15, 2021

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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

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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.




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