Clinical Investigation

Combined Hysteroscopy And Vacuum Aspiration In The Treatment Of Cornual Ectopic Pregnancy: Case Report

  • Ismail Mete Itil
  • Teksin Çirpan
  • Alper Biler
  • Sait Yücebilgin

Turk J Obstet Gynecol 2007;4(2):121-124

The management of cornual ectopic pregnancy involves systemic methotrexate, laparotomy with cornual resection or hysterectomy. A 35-year-old nullipar presented with an 4-weeks history of amenorrhea and a positive pregnancy test. A diagnostic laparoscopy after the transvaginal sonography revealed a right cornual ectopic pregnancy. The patient was treated with multiple methotrexate doses, but the gestational sac persisted. Through the operative hysteroscope, the gestataional sac was ruptured, and the embryo was removed from the right uterine cornu and evacuated with vacuum aspiration. Three weeks postoperatively, the patient's ß-human chorionic gonadotropin level was negative, and the transvaginal sonographic findings were normal. Combined hysteroscopy and vacuum aspiration in the treatment of cornual ectopic pregnancy after methotrexate treatment is a minimally invasive surgical procedure.

Keywords: cornual ectopic pregnancy, hysteroscopy