Volume 9, Issue 4 p. 249-255

Management of cornual (interstitial) pregnancy

Radwan Faraj MRCOG

Corresponding Author

Radwan Faraj MRCOG

Specialist Registrar

Department of Obstetrics and Gynaecology, Blackpool Victoria Hospital, Whinny Heys Road, Blackpool FY3 8NR, UK

Department of Obstetrics and Gynaecology, Blackpool Victoria Hospital, Whinny Heys Road, Blackpool FY3 8NR, UK Email: [email protected]Search for more papers by this author
Martin Steel FRCOG

Martin Steel FRCOG

Consultant Obstetrician and Gynaecologist/Clinical Director

Blackpool Victoria Hospital, UK

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First published: 24 January 2011
Citations: 67

Abstract

Key content

  • The Confidential Enquiry into Maternal and Child Health report for 2000–02 stated that cornual pregnancy is a rare but dangerous type of ectopic pregnancy.

  • Four out of the 11 deaths from ruptured ectopic pregnancy were due to ruptured cornual pregnancy. In all four cases the diagnosis was made only after rupture.

  • Haemorrhage can be severe because pregnancy is often more developed than extrauterine tubal pregnancy and because of the large blood supply to the uterus.

  • Clinicians should be aware of the difficulties with both clinical and ultrasound diagnosis.

  • Many case reports have been written about sporadic cases of intact and ruptured cornual pregnancy and several treatment modalities discussed. There are very few publications collecting all management strategies, including both surgical and medical treatment, for this dangerous type of ectopic pregnancy.

Learning objectives

  • To understand recent advances in diagnosis and conservative laparoscopic and medical treatment.

  • To review the most reputable case reports discussing all modalities of treatment, including radical surgical and conservative laparoscopic methods and different types of medical treatment, with critical appraisal of each approach.

Ethical issues

  • How should a couple be counselled regarding future pregnancy risks and the optimum mode of delivery?

Please cite this article as: Faraj R, Steel M. Management of cornual (interstitial) pregnancy. The Obstetrician & Gynaecologist 2007;9:249–255.