A Clinical Study of Cornual Pregnancy: A Survey of 37 Cases.

Lee, Y H; Lee, H Y; Park, S J; Lee, G H; Park, Y K; Koh, M H

Original Article

Korean Journal of Obstetrics & Gynecology 1999;42(4):765-769.
Published online January 1, 2001.

A Clinical Study of Cornual Pregnancy: A Survey of 37 Cases.

Y H Lee, H Y Lee, S J Park, G H Lee, Y K Park, M H Koh

Abstract

OBJECTIVE
Cornual or interstitial pregnancy rarely occurs. Its incidence is estimated 2-4% of all tubal pregnancy, but it causes serious maternal mortality and morbidity. The authors surveyed 37 cases with cornual pregnancy and propose analysis from the clinical statistical aspect. METHODS: We studied 37 cases which have occured from May. 1, 1983 to Dec. 31, 1998 at Department of Obstetrics & Gynecology, College of Medicine, Yeungnam University, Daegu. RESULTS: The incidence of cornual pregnancy was 1 in 35.1 ectopic pregnancies. Shock was more frequent, intra-abdominal hemorrhage below 500ml was 35.1%, above 2,000ml was 24.3%. The most frequent interval between LMP and the onset of symptom was 8-12 weeks in 54.1%. 70.3% of total cases were treated by cornual wedge resection, 24.3% by total abdominal hysterectomy. CONCLUSION: Early detection of cornual pregnancy is essential in avoiding a fatal outcome. Although most of cornual pregnancies were treated with traditional operative techniques, it is useful to conduct conservative or non-conservative management by laparoscopy and treat medically.

Key Words: Cornual pregnancy, Ectopic pregnancy