tailieunhanh - Báo cáo y học: "Cornual heterotopic pregnancy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Cornual heterotopic pregnancy: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Cornual heterotopic pregnancy a case report Olivier Poujade Guillaume Ducarme and Dominique Luton Address Department of Gynecology and Obstetrics Hôpital Beaujon Bld du Général Leclerc 92110 Clichy France Email OP - olivierpoujade@ GD - DL - dluton@ Corresponding author Received 1 August 2008 Accepted 22 January 2009 Published 23 June 2009 Journal ofMedical Case Reports 2009 3 7233 doi 1752-1947-3-7233 This article is available from http jmedicalcasereports article view 7233 2009 Poujade et al licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction 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. Case presentation 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. Conclusions 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. Introduction Heterotopic pregnancy is defined as the coexistence of