Molar ectopic pregnancy in the uterine cornus.

Abstract

Cornual pregnancy is a rare form of ectopic pregnancy. The incidence of hydatiform molar pregnancy is 1 in 1000 to 2000 pregnancies. Molar cornual ectopic pregnancy is extremely rare. A 41-year-old nulliparous woman was admitted via the emergency department because of vaginal bleeding for 2 weeks. Transvaginal sonography exhibited a heterogeneous hypoechoic shadow in the endometrium that suggested a hematometra including blood clots and tissue, and a multicystic echogenic mass, with flow at color Doppler ultrasonography, in the lateral wall of the uterus. A laparoscopic cornuostomy was performed. Pathologic analysis demonstrated placental tissue with features consistent with a partial molar pregnancy. Systemic methotrexate therapy was administered to treat the possible remnants of the molar pregnancy. Molar cornual ectopic pregnancy can be successfully treated with laparoscopic cornuostomy and systemic methotrexate therapy.

• Authors: Jong Ha Hwang, Jae Kwan Lee, Nak Woo Lee, Kyu Wan Lee
• Journal: Journal of minimally invasive gynecology (J Minim Invasive Gynecol) 2010 Mar-Apr Vol. 17 Issue 2 Pg. 239-41 ISSN: 1553-4650 [Print] United States
• PMID: 20226416 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright 2010 AAGL. Published by Elsevier Inc. All rights reserved.

Topics

• Adult
• Endometrial Neoplasms (diagnosis, surgery)
• Female
• Humans
• Hydatidiform Mole (diagnosis, surgery)
• Laparoscopy
• Pregnancy
• Pregnancy, Ectopic (diagnosis, surgery)