Korean J Obstet Gynecol.  2006 Oct;49(10):2190-2193.

A case of cornual pregnancy ruptured at 24 week's gestation

Affiliations
  • 1Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, Korea. kimsr@hanyang.ac.kr

Abstract

A cornual pregnancy occurs when the conceptus implants at the cornus of the uterus which is the junction between the fallopian tube and uterine cavity. It accounts for 2 to 4% of tubal pregnancy and rupture usually occurs between 8 weeks and 16 weeks of gestation. The rich vascularity in this location makes the rupture particularly dangerous, resulting in higher maternal mortality. The presented case was unique in that the pregnancy was believed to be a normal intrauterine pregnancy till 24 week's of gestation, when it ruptured and presented as the pregnant patient with hypovolemic shock of unknown cause. We present this case with a brief review of the literature.

Keyword

Cornual pregnancy; Second trimester pregnancy; Uterine rupture

MeSH Terms

Cornus
Fallopian Tubes
Female
Humans
Maternal Mortality
Pregnancy Trimester, Second
Pregnancy*
Pregnancy, Tubal
Rupture
Shock
Uterine Rupture
Uterus
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