PDF(Pubmed)
Abstract：
Cornual pregnancy is an infrequent form of ectopic pregnancy characterised by the implantation of the embryo at the intersection between the fallopian tube and the uterus. The incidence of ectopic pregnancy is higher in the ampullary region of the fallopian tube. Nevertheless, cornual (interstitial) pregnancy is observed in approximately 2-4% of cases involving ectopic pregnancies. A cornual gestation is considered to be a highly perilous and potentially life-threatening form of ectopic pregnancy, with a mortality rate that is two to five times more than that of other types of ectopic pregnancies. Due to the myometrium\'s capacity for stretching, the presentation of these cases typically occurs at a later stage, typically between seven and 12 weeks of gestation. Haemodynamic instability is typically observed in patients with ruptured cornual ectopic pregnancy. This study presents a case of a 40-year-old woman, G5P4L1D3, who arrived at the labour room of GMERS (Gujarat Medical Education & Research Society) Medical College and Hospital, Valsad, experiencing shock at eight weeks of gestation. Based on the clinical examination and ultrasound report, a preliminary diagnosis of ruptured cornual ectopic was established. The patient was resuscitated followed by an emergency laparotomy as a critical intervention to preserve their life. The primary approach for addressing maternal mortality caused by cornual pregnancy involves early detection and intervention.
摘要：
角膜妊娠是一种罕见的异位妊娠形式，其特征是将胚胎植入输卵管和子宫之间的交叉处。输卵管壶腹部异位妊娠的发生率较高。然而，在大约2-4％的涉及异位妊娠的病例中观察到宫角（间质）妊娠。宫角妊娠被认为是一种高度危险和潜在危及生命的异位妊娠形式，死亡率是其他类型异位妊娠的两到五倍。由于子宫肌层的伸展能力，这些病例的出现通常发生在后期，通常在妊娠7到12周之间。在宫角异位妊娠破裂的患者中通常观察到血流动力学不稳定。这项研究展示了一个40岁女性的案例，G5P4L1D3，到达GMERS（古吉拉特邦医学教育与研究学会）医学院和医院的劳动室，Valsad,在妊娠八周时经历休克。根据临床检查和超声报告，建立了破裂的角膜异位的初步诊断。对患者进行了复苏，然后进行了紧急剖腹手术，以保护他们的生命。解决宫角妊娠造成的孕产妇死亡的主要方法是早期发现和干预。
