Cornual Pregnancy Treated with Dilatation and Curettage Under Laparoscopic Guidance: A Report of Two Cases

Fung Wei Chang, Mu Hsien Yu, Chang Cheng Wu, Wei Hwa Chen, Chi Huang Chen

研究成果: 雜誌貢獻文章

1 引文 斯高帕斯(Scopus)

摘要

Objective: Cornual pregnancy must be differentiated as either angular pregnancy or interstitial pregnancy. Angular pregnancy may develop without incident or abort into the uterine cavity. In contrast, interstitial pregnancy always ruptures with potentially lethal results. Early diagnosis of angular pregnancy and interstitial pregnancy is critical, so that appropriate management can be instituted. Case Reports: Two pregnant women presented with left pelvic pain and vaginal spotting. Ultrasonography identified left cornual pregnancy and both underwent dilatation and curettage (D&C) under laparoscopic guidance. During surgery, the angular pregnancy in a bicornuate uterus remained asymptomatic, but the interstitial pregnancy resulted in heavy bleeding from the uterus. However, hemostasis was achieved after cornual resection. Conclusion: Our experience showed that D&C is an ideal alternative to conventional invasive surgery for angular pregnancy. However, it may be less suitable for interstitial pregnancy because of the potential for bleeding, leading to the need for cornual resection.

原文英語
頁(從 - 到)229-231
頁數3
期刊Taiwanese Journal of Obstetrics and Gynecology
43
發行號4
DOIs
出版狀態已發佈 - 十二月 2004
對外發佈Yes

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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