Poujade Olivier, Ducarme Guillaume, Luton Dominique
Department of Gynecology and Obstetrics, Hôpital Beaujon, Bld du Général Leclerc 92110 Clichy France.
J Med Case Rep. 2009 Jun 23;3:7233. doi: 10.4076/1752-1947-3-7233.
Cornual heterotopic pregnancy is a very rare condition; its incidence remains unknown. We report a case of cornual heterotopic pregnancy managed by laparoscopy and guided methotrexate injection into the cornual sac.
A cornual heterotopic pregnancy was diagnosed at 9 weeks of amenorrhoea in a 31-year-old healthy woman. Ultrasound examination showed a well-formed intrauterine gestation without detectable fetal heart pulsation, together with a gestational sac situated in the right cornual region. After uterine evacuation under ultrasound guidance, the diagnosis of cornual pregnancy was confirmed on laparoscopy followed by methotrexate injection into the cornual gestational sac.
Cornual heterotopic pregnancy is a very rare and potentially dangerous condition. Diagnosis of cornual pregnancy could be made on ultrasound examination in this patient. Laparoscopy was useful as an alternative in confirming the diagnosis and aided further treatment.
宫角异位妊娠是一种非常罕见的情况；其发病率尚不清楚。我们报告一例通过腹腔镜检查并在超声引导下向宫角妊娠囊内注射甲氨蝶呤治疗的宫角异位妊娠病例。
一名31岁健康女性在停经9周时被诊断为宫角异位妊娠。超声检查显示宫内妊娠囊形态良好，但未检测到胎心搏动，同时在右侧宫角区域发现一个妊娠囊。在超声引导下清宫后，腹腔镜检查确诊为宫角妊娠，随后向宫角妊娠囊内注射甲氨蝶呤。
宫角异位妊娠是一种非常罕见且潜在危险的情况。该患者通过超声检查可诊断出宫角妊娠。腹腔镜检查有助于确诊并辅助进一步治疗。
