[ Grossesse cornuale : à propos d'un cas et revues de la littérature ]
Volume 13, Issue 1, September 2015, Pages 168–171
Jihad Drissi1, Houda Fagouri2, Hajar Derdabi3, Farid Kassidi4, Khalid Guelzim5, Jaouad Kouach6, Driss Rahali Moussaoui7, and Mohammed Dehayni8
1 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
2 Service de gynécologie obstétrique de l'Hôpital Militaire Med V de Rabat, Morocco
3 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
5 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
6 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
7 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
8 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The cornual pregnancy is a rare entity that represents almost 2% of ectopic pregnancies. Its diagnosis is almost always based on laparoscopy. The risk of rupture with severe bleeding remains high. The surgical treatment is often conventionally cornual radical resection, although cases medical methotrexate have been described.
The objective of this work is to describe a rare form of ectopic pregnancy and expose its diagnostic features, management and prognosis.
Patient and method: We report the case of a cornual pregnancy discovery intraoperatively in a patient of 27 years, admitted for acute pelvic pain with bleeding in the first quarter with pelvic ultrasound: empty uterus, endometrium 10mm, with an average abundance of peritoneal effusion. Rate of beta-hcg 2017. Given the strong suspiscion of ectopic pregnancy the patient was admitted immediately block with discovery of a right cornual pregnancy ruptured.
Discussion and Conclusion: Interstitial pregnancy ectopic pregnancy is a rare, difficult to diagnose which may involve life and maternal fertility prognosis. Taking conventional charge is surgical. In subsequent pregnancies the clinician wary risk of recurrence of interstitial pregnancy and uterine rupture.
Author Keywords: ectopic pregnancy, cornual pregnancy, cornual resection, uterine rupture, salpingectomie.
Volume 13, Issue 1, September 2015, Pages 168–171
Jihad Drissi1, Houda Fagouri2, Hajar Derdabi3, Farid Kassidi4, Khalid Guelzim5, Jaouad Kouach6, Driss Rahali Moussaoui7, and Mohammed Dehayni8
1 Service de Gynécologie-Obstétrique, Hôpital militaire d'Instruction Mohammed V, Rabat, Morocco
2 Service de gynécologie obstétrique de l'Hôpital Militaire Med V de Rabat, Morocco
3 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
5 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
6 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
7 Department of Gynecology-Obstetric, Military Training Hospital Med V, Rabat, Morocco
8 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2015 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The cornual pregnancy is a rare entity that represents almost 2% of ectopic pregnancies. Its diagnosis is almost always based on laparoscopy. The risk of rupture with severe bleeding remains high. The surgical treatment is often conventionally cornual radical resection, although cases medical methotrexate have been described.
The objective of this work is to describe a rare form of ectopic pregnancy and expose its diagnostic features, management and prognosis.
Patient and method: We report the case of a cornual pregnancy discovery intraoperatively in a patient of 27 years, admitted for acute pelvic pain with bleeding in the first quarter with pelvic ultrasound: empty uterus, endometrium 10mm, with an average abundance of peritoneal effusion. Rate of beta-hcg 2017. Given the strong suspiscion of ectopic pregnancy the patient was admitted immediately block with discovery of a right cornual pregnancy ruptured.
Discussion and Conclusion: Interstitial pregnancy ectopic pregnancy is a rare, difficult to diagnose which may involve life and maternal fertility prognosis. Taking conventional charge is surgical. In subsequent pregnancies the clinician wary risk of recurrence of interstitial pregnancy and uterine rupture.
Author Keywords: ectopic pregnancy, cornual pregnancy, cornual resection, uterine rupture, salpingectomie.
Abstract: (french)
La grossesse cornuale : entité rare qui représente près de 2% des grossesses extra-utérines. Son diagnostic repose presque toujours sur la cœlioscopie. Les risques de rupture avec hémorragie importante restent élevés. Le traitement est classiquement chirurgical par résection cornuale, quoique des cas de traitement médical par méthotrexate aient été décrits.
L'objectif de ce travail est de décrire une forme rare de grossesse extra-utérine et d'exposer ses particularités diagnostique, prise en charge et pronostiques.
Patient et méthode: Nous rapportons le cas d'une grossesse cornuale découverte en per opératoire chez une patiente de 27ans, admise pour algies pelviennes aigues avec à l'échographie pelvienne : utérus vide, endomètre de 10mm et un épanchement péritonéal de moyenne abondance. Taux de béta-hcg à 2017. Devant la forte suspiscion de grossesse extra-utérine la patiente a été admise immédiatement au bloc avec découverte d'une grossesse cornuale droite rompue.
Discussion et Conclusion: La grossesse cornuale est une grossesse ectopique rare, de diagnostic difficile, qui peut mettre en jeu le pronostic vital maternel. La prise en charge classique est chirurgicale. Lors des grossesses ultérieures le clinicien se méfiera des risques de récidive de grossesse interstitielle et de rupture utérine.
Author Keywords: grossesse extra-utérine, grossesse cornuale, résection cornuale, rupture utérine, salpingectomie.
How to Cite this Article
Jihad Drissi, Houda Fagouri, Hajar Derdabi, Farid Kassidi, Khalid Guelzim, Jaouad Kouach, Driss Rahali Moussaoui, and Mohammed Dehayni, “Cornual pregnancy: a report of a case and literature reviews,” International Journal of Innovation and Applied Studies, vol. 13, no. 1, pp. 168–171, September 2015.
