Nishat Nadia, Gul Aiysha, Salcedo Yoalkris E, Chugh Ekta
Family Medicine, Adichunchanagiri Institute of Medical Sciences, Mandya, IND.
Obstetrics and Gynecology, Mardan Medical Complex, Mardan, PAK.
Cureus. 2024 Mar 21;16(3):e56675. doi: 10.7759/cureus.56675. eCollection 2024 Mar.
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.
宫角异位妊娠虽然罕见，但在诊断和治疗方面存在重大挑战。本病例报告详细介绍了一名22岁初孕妇的临床表现及成功治疗过程，该孕妇出现腹痛、恶心和呕吐症状，最终被诊断为左侧宫角未破裂异位妊娠。我们采用了多学科方法，包括临床怀疑、β-人绒毛膜促性腺激素（β-hCG）测量和经阴道超声检查结果，强调了及时干预以避免不良后果的重要性。患者接受了腹腔镜下部分输卵管切除术，术中出血量极少，术后并发症也很少。我们的经验突出了腹腔镜干预在处理宫角异位妊娠方面的有效性，并强调了根据个体患者情况制定治疗策略的必要性。通过遵循既定指南并推进研究工作，我们可以进一步改善患有这种具有挑战性疾病的患者的治疗效果。本病例强调了早期诊断、及时干预和持续监测在宫角异位妊娠管理中的关键作用。
