Recurrent Ipsilateral Cornual Pregnancy After Salpingectomy

Sang Wook Yi, MD

Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea (Dr. Yi).

ABSTRACT

Introduction: Cornual pregnancy on the same side as a previous salpingectomy is a very rare pathologic condition in cases of spontaneous pregnancy.

Case Description: A 31-year-old woman (gravida 2, para 0) was admitted with abdominal pain and vaginal hemorrhage. She had a history of laparoscopic left salpingectomy for tubal pregnancy 6 years ago at another hospital. Two-port laparoscopy with a multichannel port was performed and revealed a left cornual pregnancy with hemoperitoneum. Five months later, she visited our emergency department because of abdominal pain. We performed 2-port laparoscopy, using a multichannel port for a left cornual pregnancy with hemoperitoneum.

Discussion: Two-port laparoscopy with a multichannel port for recurrent cornual pregnancy was relative safe and easy, with the advantages of reduced surgical morbidity, less bleeding, and shorter operative time.

Key Words: Cornual pregnancy, Laparoscopy, Recurrence, Salpingectomy, Salpinx.

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