A Case of Cornual Pregnancy Complicated with Intraligamentary Pregnancy.

Jang, Mun Geon; Seo, Sang Bum; Kim, Hyun Jun; Kang, Yun Dan; Myong, Na Hye; Park, Hye Young; Park, Man Chul; Park, Choong Hak

Case Report

Korean Journal of Obstetrics & Gynecology 2004;47(8):1625-1629.
Published online August 1, 2004.

A Case of Cornual Pregnancy Complicated with Intraligamentary Pregnancy.

Mun Geon Jang, Sang Bum Seo, Hyun Jun Kim, Yun Dan Kang, Na Hye Myong, Hye Young Park, Man Chul Park, Choong Hak Park

¹Department of Obstetrics and Gynecology, Dankook University College of Medicine, Cheonan, Korea.
²Department of Pathology, Dankook University College of Medicine, Cheonan, Korea.
³Department of Obstetrics and Gynecology, Pundang Jesaeng General Hospital, Daejin Medical Center, Seongnam, Korea.

Abstract

Cornual pregnancy, which is a rare form of ectopic pregnancy, is an implantation of embryo in the intramural portion of a fallopian tubes. The incidence of cornual pregnancy is reported to be between 2-4% of all tubal pregnancy, about 1% of ectopic pregnancy, and occurs once for every 2,500 to 5,000 live births. Because the greater distensibility and vascularlity of this site lead to rupture at a latter gestational age and rapid intraperitoneal hemorrhage, cornual pregnancy causes serious maternal mortality and morbidity. Intraligamentary pregnancy, also a form of ectopic pregnancy, is one of the most unusual accident so that the diagnosis of intraligamentary pregnancy is hardly ever made prior to laparotomy. The incidence of intraligamentary pregnancy is reported to be about once for every 245 all ectopic pregnancy, and about once for every 49,000 to 184,000 all pregnancy. We have experienced an extremely rare case of right cornual pregnancy complicated with right intraligamentary pregnancy which was proven by histopathologic diagnoses in a 34-year-old woman and report it with review of literatures.

Key Words: Ectopic pregnancy, Cornual pregnancy, Intraligamentary pregnancy