PDF(Pubmed)
Abstract：
UNASSIGNED: Cornual pregnancy, an infrequently reported form of ectopic pregnancy occurring in the uterine horn, is inadequately documented in medical literature, with an incidence below 2 %. This condition poses a substantial risk to maternal health due to delayed diagnosis and the potential for life-threatening bleeding after rupture.
METHODS: We present a case report following the SCARE guidelines that details a 32-year-old woman with abdominal pain and abnormal uterine bleeding. Clinical examination, β-HCG levels, and endovaginal ultrasound confirmed the presence of a 4 cm unruptured right cornual pregnancy. The patient underwent a minilaparotomy, which revealed the ectopic pregnancy, followed by a successful cornuostomy and right salpingectomy. Postoperative recovery was uneventful.
UNASSIGNED: Cornual pregnancy, comprising around 2 % of ectopic pregnancies, is associated with increased risks of rupture and maternal morbidity. Major risk factors include a history of pregnancy termination, miscarriage, STIs, and smoking. Diagnosis is often delayed, leading to an increased risk of bleeding. Pelvic pain is a common presenting symptom, and sonographic findings aid in accurate diagnosis.
CONCLUSIONS: Cornual pregnancy, though rare, represents a serious condition with a significant risk of maternal morbidity and mortality. A timely diagnosis is crucial for effective treatment, with ultrasound playing a pivotal role, complemented by the essential contribution of laparoscopy. This case underscores the importance of prompt intervention to mitigate the associated risks and improve patient outcomes.
METHODS: We present a case report following the SCARE guidelines that details a 32-year-old woman with abdominal pain and abnormal uterine bleeding. Clinical examination, β-HCG levels, and endovaginal ultrasound confirmed the presence of a 4 cm unruptured right cornual pregnancy. The patient underwent a minilaparotomy, which revealed the ectopic pregnancy, followed by a successful cornuostomy and right salpingectomy. Postoperative recovery was uneventful.
UNASSIGNED: Cornual pregnancy, comprising around 2 % of ectopic pregnancies, is associated with increased risks of rupture and maternal morbidity. Major risk factors include a history of pregnancy termination, miscarriage, STIs, and smoking. Diagnosis is often delayed, leading to an increased risk of bleeding. Pelvic pain is a common presenting symptom, and sonographic findings aid in accurate diagnosis.
CONCLUSIONS: Cornual pregnancy, though rare, represents a serious condition with a significant risk of maternal morbidity and mortality. A timely diagnosis is crucial for effective treatment, with ultrasound playing a pivotal role, complemented by the essential contribution of laparoscopy. This case underscores the importance of prompt intervention to mitigate the associated risks and improve patient outcomes.
摘要：
■康体妊娠，一种罕见的宫外孕发生在子宫角，在医学文献中没有充分的记录，发病率低于2%。由于延迟诊断和破裂后可能危及生命的出血，这种情况对产妇健康构成重大风险。
方法：我们提供了根据SCARE指南的病例报告，该报告详细介绍了一名32岁的腹痛和异常子宫出血的女性。临床检查,β-HCG水平,经阴道超声证实存在4厘米未破裂的右侧宫角妊娠。病人做了剖腹手术,揭示了异位妊娠，然后是成功的角膜造口术和右输卵管切除术。术后恢复顺利。
■宫内妊娠，包括大约2%的异位妊娠，与破裂和孕产妇发病率的风险增加有关。主要危险因素包括终止妊娠史，流产,性传播感染,和吸烟。诊断经常延迟，导致出血风险增加。盆腔疼痛是常见的症状，和超声检查结果有助于准确诊断。
结论：眼角妊娠，虽然罕见，这是一种严重的疾病，具有严重的孕产妇发病率和死亡率风险。及时的诊断是有效治疗的关键,超声波起着举足轻重的作用，辅以腹腔镜检查的重要贡献。此案例强调了及时干预以减轻相关风险并改善患者预后的重要性。
方法：我们提供了根据SCARE指南的病例报告，该报告详细介绍了一名32岁的腹痛和异常子宫出血的女性。临床检查,β-HCG水平,经阴道超声证实存在4厘米未破裂的右侧宫角妊娠。病人做了剖腹手术,揭示了异位妊娠，然后是成功的角膜造口术和右输卵管切除术。术后恢复顺利。
■宫内妊娠，包括大约2%的异位妊娠，与破裂和孕产妇发病率的风险增加有关。主要危险因素包括终止妊娠史，流产,性传播感染,和吸烟。诊断经常延迟，导致出血风险增加。盆腔疼痛是常见的症状，和超声检查结果有助于准确诊断。
结论：眼角妊娠，虽然罕见，这是一种严重的疾病，具有严重的孕产妇发病率和死亡率风险。及时的诊断是有效治疗的关键,超声波起着举足轻重的作用，辅以腹腔镜检查的重要贡献。此案例强调了及时干预以减轻相关风险并改善患者预后的重要性。
