Laparoscopic Management of Unruptured Cornual Ectopic Pregnancy in a 22-Year-Old Primigravida: A Case Report

Abstract

Cornual ectopic pregnancy, though rare, presents significant challenges in diagnosis and management. This case report details the clinical presentation and successful treatment of a 22-year-old primigravida experiencing symptoms of abdominal pain, nausea, and vomiting, ultimately diagnosed with an unruptured left cornual ectopic pregnancy. Employing a multidisciplinary approach involving clinical suspicion, beta-human chorionic gonadotropin (β-hCG) measurements, and transvaginal ultrasound findings, we underscored the importance of timely intervention to avert adverse outcomes. The patient underwent laparoscopic partial salpingectomy, resulting in minimal intraoperative blood loss and postoperative complications. Our experience highlights the effectiveness of laparoscopic intervention in managing cornual ectopic pregnancy and underscores the necessity of tailoring treatment strategies to individual patient circumstances. By adhering to established guidelines and advancing research efforts, we can further enhance outcomes for patients grappling with this challenging condition. This case emphasizes the critical role of early diagnosis, prompt intervention, and ongoing vigilance in the management of cornual ectopic pregnancies.

Keywords: cornual ectopic pregnancy; individualized management strategies; interstitial ectopic pregnancy; laparoscopic intervention; maternal mortality; partial salpingectomy; patient outcomes; primigravida mother; serum β-hcg; transvaginal ultrasonography.

Figure 1. Transvaginal ultrasound shows left adnexal mass (shown by white circle)

Figure 2. Laparoscopic view of left cornual unruptured ectopic pregnancy prior to partial salpingectomy (shown by black circle)

Figure 3. Laparoscopic view of left cornual ectopic pregnancy during partial salpingectomy. Post excision, the remaining part of the left tube (shown by red arrow) and the uterus are seen with the excised ectopic in the anterior uterovesical fold of the peritoneum (shown by white arrow)