| Autor: |
S M S; Junior Resident, Department of Obstetrics and Gynaecology, Regional Institute of Medical Sciences , Imphal, Manipur-795004, India ., T C, Singh N N, Singh N B, T S N |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of clinical and diagnostic research : JCDR [J Clin Diagn Res] 2013 Jul; Vol. 7 (7), pp. 1455-6. Date of Electronic Publication: 2013 Jul 01. |
| DOI: |
10.7860/JCDR/2013/5644.3154 |
| Abstrakt: |
A cornual gestation is one of the most hazardous types of ectopic gestations, which accounts for 2 - 4% of all the ectopic pregnancies and it has a mortality rate which is 6 - 7 times higher than that of the ectopics in general. The diagnosis and the treatment of such a pregnancy is challenging and it constitutes an urgent medical situation. Because of the myometrial stretch ability, they tend to present relatively late, at 7 - 12 weeks of gestation. A significant maternal haemorrhage which can lead to hypovolaemia and shock, can rapidly result from a cornual rupture. We are reporting a case of 28 year old woman who presented to the emergency obstetrical room in a state of hypovolaemic shock. The diagnosis of a ruptured ectopic pregnancy was confirmed in view of the history of 10 weeks of amenorrhoea, with a positive urine pregnancy test. She was shifted for emergency exploratory laparotomy. Intraoperatively, we encountered a left lateral wall ruptured uterus with a 10 week old foetus in the peritoneal cavity, which suggested a left cornual ectopic pregnancy which had ended up as a catastrophic event. A cornual resection and repair was done successfully. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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