Chinese Medical Sciences Journal ›› 2021, Vol. 36 ›› Issue (2): 161-170.doi: 10.24920/003793
• Case Reports • Previous Articles
Successfully Managing Cornual Heterotopic Pregnancy:A Case Report and Literature Review
Li Chen, Wenjie Sun(
), Lijuan Hao, Yi Lin
- Department of Gynecology Endocrinology, Chongqing Health Center for Women and Children, Chongqing 401147, China
-
Received:2020-09-13Published:2021-06-30Online:2021-04-20 -
Contact:Wenjie Sun E-mail:837689606@qq.com
Cite this article
Li Chen, Wenjie Sun, Lijuan Hao, Yi Lin. Successfully Managing Cornual Heterotopic Pregnancy:A Case Report and Literature Review[J].Chinese Medical Sciences Journal, 2021, 36(2): 161-170.
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Figure 1.
Transvaginal ultrasound images at 27 days after embryo transfer showing a gestational sac in the left cornual region (A, measuring 2.0 cm × 1.4 cm) and an intrauterine gestational sac (B, measuring 2.6 cm × 2.3 cm × 0.7 cm)."
Figure 1.
Figure 2.
Three-dimensional ultrasound performed on day 29 showing a cornual embryo (A, measuring 2.6 cm × 1.6 cm) and an intrauterine gestational sac (B, measuring 4.2 cm × 1.9 cm × 0.8 cm)."
Figure 2.
Figure 3.
A. Laparoscopy showing an un-ruptured cornual gestational sac (arrow). B. Histological examination results of the cornual gestational sac. C. Ultrasound images at the 10th day after surgery showed an abnormal mass with a blood flow signal (measuring 5.4 cm × 3.7 cm, arrow)."
Figure 3.
Figure 4.
The abnormal tissue at the edge of the placenta (arrow)."
Figure 4.
Table 1
Review of the literatures describing cornual heterotopic pregnancy"
| References | Case no. (fertilization way) | Risk factors | Manifestations and GA at diagnoses (weeks) | Treatment of CHP | Outcome of intrauterine pregnancy |
|---|---|---|---|---|---|
| Lower et al.[ | 1 (IVF-ET) | Left salpingectomy | Cornual rupture (8) | Laparotomy | Term delivery |
| Gamberdella et al.[ | 1 (IVF-ET) | No data | Cornual rupture (8) | Laparotomy | Term delivery |
| Chen et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (10) | Laparotomy | Miscarriage (no fetal heart beats of intrauterine fetuses) |
| Trma-Tritsch et al.[ | 1 (IVF-ET) | No data | Free of symptoms (9) | Cornual injection of KCl | Miscarriage |
| Fernandez et al.[ | 3 (IVF-ET) 1 (Spontaneous) | Bilateral salpingectomy No tubal history | Free of symptoms (6-8) | 1 expectant management, 3 cornual injection of KCl | 1 term delivery, 2 miscarriage at 8 and 10 weeks separately, 1 term delivery |
| Pérezet al.[ | 1 (IVF-ET) | No data | Free of symptoms (7) | Cornual injection of KCl | Term delivery |
| Vilos et al.[ | 1 (ovulation induction) | Bilateral salpingectomy | Free of symptoms (7+5) | Laparoscopy | Term delivery |
| Loret de Mola et al.[ | 2 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (9) | Laparotomy | 1 preterm birth at 28 weeks, 1 term delivery |
| Gaudier et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (7) | Laparotomy | Preterm birth at 34 weeks |
| Benifla et al.[ | 2 (IVF-ET) | No data | Free of symptoms (6-7) | Cornual injection of KCl | 1 miscarriage, 1 term delivery |
| Baker et al.[ | 1 (IVF-ET) | No data | Free of symptoms (7) | TVS injection of MTX | Term delivery |
| Kasum et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (7) | Laparotomy | Preterm birth at 36 weeks |
| van der Weiden et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Free of symptoms (8) | Cornual injection of KCl | Term delivery |
| Oyawoye et al.[ | 1 (IVF-ET) | PCOS | Free of symptoms (6+3) | TVS injection of MTX | Term delivery |
| Chin et al.[ | 2 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (12 /17) | Laparotomy | 2 Term delivery |
| Bhat et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (12) | laparotomy | Term delivery |
| Robin et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Free of symptoms (8) | Cornual injection of KCl | Term delivery |
| Ozgur et al. [ | 1 (IVF-ET) | Tubal ligation or tuboplasty | Free of symptoms (9) | Cornual injection of KCl | Uterus rupture at 11 weeks |
| Ben-Ami et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (7) | Laparoscopy | Term delivery |
| Blazar et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (6) | Laparotomy | Term delivery |
| Divryet al.[ | 1 (IVF-ET) | Tubal factor combined with a masculine factor | Cornual rupture (6) | Laparotomy | Preterm birth at 31 weeks |
| Parket al.[ | 1 (IVF-ET) | Right salpingectomy | Free of symptoms (6) | Cornual injection of KCl | Term delivery |
| Poujade et al.[ | 1 (spontaneous) | No tubal history | Abdominal pain and bleeding (9) | Laparoscopic injection of MTX | Miscarriage |
| Sentilhes et al.[ | 1 (IVF-ET) | Endometriosis | Free of symptoms (7) | Expectant management | Term delivery |
| Soriano et al.[ | 3 (IVF-ET) | Bilateral salpingectomy | Vaginal bleeding (7-8) | Laparoscopy | 3 term delivery |
| Qiong et al.[ | 9 (IVF-ET) | 3 (bilateral salpingectomy), 6 (no data) | 6, abdominal pain; 3, free of symptoms (4-6) | 1 laparotomy, 3 expectant management, 5 selective embryo reduction | 1 miscarriage, 3 term delivery, 2 miscarriage, 3 term delivery |
| Lukásová et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Vaginal bleeding (6) | Laparoscopy | Term delivery |
| Mayer et al.[ | 1 (IVF-ET) | Dissection of uterine septum | Free of symptoms (7) | Expectant management | Preterm birth at 31 weeks (uterine rupture) |
| Prorocic et al. [ | 1 (IVF-ET) | Right salpingectomy | Free of symptoms (7) | Cornual injection of hypertonic NaCl | Term delivery |
| Alvarez et al.[ | 1 (IVF-ET) | Left salpingectomy | Cornual rupture (5) | Laparotomy | Term delivery |
| Oral et al.[ | 1 (IVF-ET) | Bilateral salpingectomy | Cornual rupture (7) | Laparoscopy | Term delivery |
| Tufan et al.[ | 1 (spontaneous) | No tubal history | Cornual rupture (8) | Laparotomy | Miscarriage (intrauterine gestational sac rupture) |
| Kim et al.[ | 13 (IVF-ET) | 8 (bilateral salpingectomy) 5 (tubal ligation or tuboplasty) | 4, abdominal pain; 2, vaginal bleeding; 7, free of symptoms (5+4-10) | Laparoscopy | 7 term delivery, 3 preterm birth, 3 miscarriage |
| Peker et al.[ | 1 (IVF-ET) | No data | Abdominal pain (11) | Laparoscopy | Term delivery |
| Xu et al.[ | 14 (IVF-ET) | No data | 4, cornual rupture; 10, free of symptoms (5-9) | Laparoscopy | All term delivery |
| Wu et al.[ | 5 (IVF-ET) | Bilateral salpingectomy | 2, abdominal pain and viginal bleeding; 3, free of symptoms (7-9) | Laparoscopy | Term delivery |
| Eom et al.[ | 3 (IVF-ET) | Bilateral salpingectomy | 1, cornual rupture; 2, free of symptoms (7-8) | Laparoscopy | 1 miscarriage, 2 term delivery |
Table 1
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