Design: An asymptomatic patient presented to the emergency room with concern for ectopic pregnancy from an outside clinic. Ultrasound demonstrated a right cornual ectopic pregnancy measuring 10 weeks gestation with cardiac activity. The patient was taken to the operating room for laparoscopic right cornual wedge resection and right salpingectomy which was performed without complication. The patient tolerated the procedure well and was discharged home the same day.
Setting: dorsal lithotomy
Patients or Participants: G3P2002 at 10wk0d
Interventions: laparoscopic right cornual wedge resection and right salpingectomy
Measurements and Main Results: Successful completion of case laparoscopically,
Conclusion: Cornual ectopic pregnancy is a rare variant of ectopic pregnancies that can be difficult to manage and treat. Laparoscopic wedge resection for management of a cornual ectopic is an effective and safe treatment option.
Manek, R*. OBGYN, Kaiser Permanente, Los Angeles, CA