JOURNAL ARTICLE
REVIEW

Spontaneous cornual pregnancy after homolateral salpingectomy for an earlier tubal pregnancy: a case report and literature review

Nicola Pluchino, Filippo Ninni, Stefano Angioni, Arianna Carmignani, Andrea Riccardo Genazzani, Vito Cela
Journal of Minimally Invasive Gynecology 2009, 16 (2): 208-11
19249710
Cornual pregnancy is an infrequent pathological condition with severe prognosis if not adequately recognized. Ipsilateral salpingectomy represents a unique risk factor for this clinical entity. This article reports a laparoscopically treated spontaneous cornual pregnancy after homolateral salpingectomy for an earlier tubal pregnancy in a condition of hemodynamic instability as a result of cornual rupture. We include a review of the literature, underlining the feasibility of a laparoscopic approach and new treatment options combining medical and surgical tools with specific attention to their impact on future fertility and on risk of uterine rupture in a future pregnancy.

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