Abstract
Cornual pregnancy accounts for 2–4 % of all ectopic pregnancies. Rupture most commonly occurs prior to 12 weeks’ gestation and mortality for undiagnosed condition reaches 2.5 %, which is sevenfold higher than for other ectopic locations. This is most commonly due to catastrophic hemorrhage involving late rupture. The primary mode of diagnosis is three-dimensional ultrasound criteria of diagnosis that consist of < 5 mm myometrial layer surrounding the gestational sac, empty uterine cavity, and less than 1 cm of gestational sac from the edge of the uterine cavity.
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References
Damario MA, Rock JA. Ectopic pregnancy. Te Linde’s operative gynecology. Philadelphia: Lippincott, Williams & Wilkins; 2003:507–36.
Tulandi T, Al-Jaroudi D. Interstitial pregnancy: results generated from the society of reproductive surgeons registry. Obstet Gynecol. 2004;103:47–50.
Soriano D, Vicus D, Mashiach R, Schiff E, Seidman D, Goldenberg M. Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases. Fertil Steril. 2008;90:839–43.
Lau S, Tulandi T. Conservative medical and surgical management of interstitial ectopic pregnancy. Fertil Steril. 1999;72:207–15.
Jafri SZ, Loginsky SJ, Bouffard JA, Selis JE. Sonographic detection of interstitial pregnancy. J Clin Ultrasound. 1987;15:253–7.
Timor-Tritsch IE, Moneagudo A, Matera C, Veit CR. Sonographic evolution of cornual pregnancies treated without surgery. Obstet Gynecol. 1992;79:1044–9.
Ackerman TE, Levi CS, Dashefsky SM, Holt SC, Lindsay DJ. Insterstitial line: sonographic finding in instersitital (cornual) ectopic pregnancy. Radiology. 1993;189:83–87.
Moawad NS, Mahajan ST, Moniz MH, Taylor SE, Hurd WW. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol. 2010;202:15–29.
Bourdel N, Roman H, Gallot D, et al. Interstitial pregnancy. Ultrasonographic diagnosis and contribution of MRI: a case report. Gynecol Obstet Fertil. 2007;35:121–4.
Jermy K, Thomas J, Doo A, Bourne T. The conservative management of interstitial pregnancy. BJOG. 2004;111:1283–8.
Timor-Tritsch IE, Monteagudo A, Lerner JP. A ‘potentially safer’ route for puncture and injection of cornual ectopic pregnancies. Ultrasound Obstet Gynecol. 1996;7:353–5.
Monteagudo A, Minior VK, Stephenson C, Monda S, Timor-Tritsch IE. Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series. Ultrasound Obstet Gynecol. 2005;25:282–8.
Lim JE, Kim T, Lee NW, et al. Ultrasonographic endometrial features in tubal pregnancy: are they predictive factors in successful medical treatment? Ultrasound Med Biol. 2007;33:714–19.
Tulandi T, Vilos G, Gomel V. Laparoscopic treatment of interstitial pregnancy. Obstet Gynecol. 1995;85:465–7.
Coric M, Barisic D, Strelec M. Laparoscopic approach to interstitial pregnancy. Arch Gynecol Obstet. 2004;270:287–9.
MaCrae R, Olowu O, Rizzuto MI, Odejinmi F. Diagnosis and laparoscopic management of 11 consecutive cases of cornual ectopic pregnancy. Arch Gynecol Obstet. 2009;280:59–64.
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Dziadosz, M., Monteagudo, A., Timor-Tritsch, I. (2015). Interstitial Pregnancy. In: Tulandi, T. (eds) Ectopic Pregnancy. Springer, Cham. https://doi.org/10.1007/978-3-319-11140-7_11
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DOI: https://doi.org/10.1007/978-3-319-11140-7_11
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