Laparoscopic management of second trimester ruptured cornual heterotopic pregnancy with subsequent live birth delivery: A case report and literature review.
Taiwan J Obstet Gynecol
; 62(2): 363-368, 2023 Mar.
Article
in English
| MEDLINE | ID: covidwho-2298796
ABSTRACT
OBJECTIVE:
Heterotopic pregnancy (HP) is the coexistence of extra- and intrauterine gestation implantation sites. A rare case of a second-trimester ruptured cornual HP (CHP) treated with laparoscopic cornual resection with the primary repair is presented. Risk factors, clinical presentations, treatments, and outcomes of CHPs are also reviewed. CASE REPORT A 35-year-old pregnant woman with CHP presented with lower abdominal pain with hemoperitoneum and her hemoglobin level dropped. Laparoscopic management of a ruptured HP was performed, leaving the surplus intrauterine fetus intact. She delivered a 2360 g male infant via cesarean section at 34 weeks' gestation due to preterm premature rupture of membranes. We found a well-healed wound over the left uterine cornua during the cesarean section.CONCLUSION:
Ruptured CHP is a rare but life-threatening complication of an obstetric emergency. Although the pregnant uterus becomes congested and fragile, using reliable laparoscopic energy devices and barbed sutures, successful treatment is feasible.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Laparoscopy
/
Pregnancy, Heterotopic
/
Pregnancy, Cornual
Type of study:
Case report
/
Prognostic study
/
Reviews
Limits:
Adult
/
Female
/
Humans
/
Male
/
Infant, Newborn
/
Pregnancy
Language:
English
Journal:
Taiwan J Obstet Gynecol
Journal subject:
Gynecology
/
Obstetrics
Year:
2023
Document Type:
Article
Affiliation country:
J.tjog.2022.07.013
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