Experience in the management of cornual ectopic pregnancy
Background: Cornual ectopic pregnancy accounts for 2%-4% of ectopic pregnanciesand is potentially fatal due to uterine rupture and consequent massive hemorrhage,with a mortality rate of up to 2.5%. There is no consensus on the most appropriatemanagement of this pathology. Objective: To describe the...
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| Formato: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2024 |
| País: | Perú |
| Recursos: | Sociedad Peruana de Obstetricia y Ginecología |
| Repositorio: | Revista Peruana de Ginecología y Obstetricia |
| Idioma: | español inglés |
| OAI Identifier: | oai:ginecologiayobstetricia.pe:article/2601 |
| Acesso em linha: | https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2601 |
| Access Level: | acceso abierto |
| Palavra-chave: | Pregnancy ectopic cornual Methotrexate Embarazo ectópico Metotrexato |
| Resumo: | Background: Cornual ectopic pregnancy accounts for 2%-4% of ectopic pregnanciesand is potentially fatal due to uterine rupture and consequent massive hemorrhage,with a mortality rate of up to 2.5%. There is no consensus on the most appropriatemanagement of this pathology. Objective: To describe the experience in themanagement of cornual ectopic pregnancy at the Instituto Nacional MaternoPerinatal, Lima, Peru. Methods: Descriptive and retrospective study of patients witha diagnosis of cornual ectopic pregnancy during the year 2022. Data were obtainedfrom medical records. Statistical analysis was processed in the SPSS 19 program.Results: Out of 9 cases of cornual ectopic pregnancy registered, 7 met the inclusioncriteria. The mean age was 31 years and the mean gestational age 7.3 weeks. Of thecases 71.4% had no risk factors. The majority presented vaginal bleeding associatedwith pelvic pain (71.4%). The average initial value of β-hCG was 8,262.3 mIU/mL. Theaverage size of the tumor was 36.7 mm and 28.6% of the cases presented uterinerupture. 57.1% had surgical treatment consisting of cornual resection, cornuostomyor local injection of methotrexate. Conclusions: Surgery is the most commonly usedtreatment for cornual ectopic pregnancy. In recent years, laparoscopy has becomean important surgical option with certain advantages over laparotomy. |
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