Hysteroscopic management of cornual pregnancy.

Kim, Jeong Sig; Nam, Kye Hyun; Lee, Hae Hyeog

Original Article

Korean Journal of Obstetrics & Gynecology 2009;52(12):1313-1318.
Published online December 1, 2009.

Hysteroscopic management of cornual pregnancy.

Jeong Sig Kim, Kye Hyun Nam, Hae Hyeog Lee

Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea. jskim@schbc.ac.kr

Abstract

OBJECTIVE
The purpose of this study introduces a safe, effective method for treating cornual pregnancy. METHODS: Between April 2005 and December 2008, seven patients with cornual pregnancy underwent hysteroscopic surgery at a minimally invasive surgery clinic. An 18F Foley catheter was inserted after dilating the cervix; then, the uterine cavity was irrigated with 300 mL of H2O2 solution to prevent excessive bleeding. The cornual gestation was removed by hysteroscopy without complications under ultrasonographic guidance. RESULTS: The serum beta-human chorionic gonadotropin levels were monitored postoperatively and decreased optimally in all patients. All tissues removed from the uterus were confirmed to be gestational products. The estimated blood loss was less than 30 mL. All patients were discharged on the first or second postoperative day. CONCLUSION: Hysteroscopic removal of a cornual pregnancy with H2O2 is very practical and safe.

Key Words: Cornual pregnancy, Hysteroscopy