Can Cornual pregnancy be misdiagnosed?

Cornual pregnancy is a diagnostic and therapeutic challenge with potential severe consequences if uterine rupture occurs with following massive intraabdominal bleeding. We report a case of a misdiagnosed ruptured cornual pregnancy occurring at 21 weeks of gestation.

How can you tell the difference between interstitial and Cornual pregnancy?

Interstitial and cornual ectopic pregnancy can be used in the place of each other. However, they actually describe two different entities. Cornual implantation describes those in the upper and lateral uterine cavity, whereas interstitial denotes those implanted within the proximal intramural portion of the tube.

Does an ectopic pregnancy show on ultrasound?

Most ectopic pregnancies can be detected using a pelvic exam, ultrasound, and blood tests.

What is the only ultrasound finding that will confirm an ectopic pregnancy?

Absence of an intrauterine gestational sac on abdominal ultrasound in conjunction with a β-hCG level of greater than 6,500 mIU per mL suggests the presence of an ectopic pregnancy.

When does a Cornual pregnancy rupture?

Cornual pregnancy is uncommon among ectopic pregnancies. A diagnosis of cornual pregnancy remains challenging, and rupture of a cornual pregnancy causes catastrophic consequence due to massive bleeding. We report a case of a ruptured cornual pregnancy occurring at 12 weeks of gestation.

What means Cornual pregnancy?

Cornual pregnancy is a pregnancy in one horn of a bircornuated uterus or, by extension, in one half of a septated or subseptated uterus. It may be that a bicornuate uterus predisposes the embryo to high implantation.

When can an ultrasound detect ectopic pregnancy?

Pregnancy test Levels of this hormone increase during pregnancy. This blood test may be repeated every few days until ultrasound testing can confirm or rule out an ectopic pregnancy — usually about five to six weeks after conception.

How can an ultrasound detect an ectopic pregnancy?

Ultrasound diagnosis of an EP should be based on the positive identification of an adnexal mass rather than the absence of a gestational sac in the uterine cavity 19 . The report that reads empty uterus, ectopic pregnancy cannot be excluded“ should be a thing of the past.

Can you miss an ectopic pregnancy on ultrasound?

Ectopic Pregnancy Symptoms Symptoms of an ectopic pregnancy can be easy to miss. Often early signs mimic early pregnancy signs. Your doctor may suspect ectopic pregnancy if a pelvic exam reveals an abnormal lump in the tubal area or if you have unusual abdominal pain or tenderness.

How common is Cornual ectopic pregnancy?

Cornual pregnancy is a rare form of ectopic pregnancy where implantation occurs in the cavity of a rudimentary horn of the uterus, which may or may not be communicating with the uterine cavity. [1] Cornual pregnancy represents 2–4% of all tubal pregnancies and occurs once in every 2500–5000 live births.

What is an ectopic pregnancy and is it harmful?

Ectopic pregnancy, also called extrauterine pregnancy, is when a fertilized egg grows outside a woman’s uterus, somewhere else in their belly. It can cause life-threatening bleeding and needs medical care right away. In more than 90% of cases, the egg implants in a fallopian tube.

Can an ectopic pregnancy move on its own?

No, an ectopic pregnancy can’t move on it’s own. An ectopic pregnancy means that the fertilized egg has implanted somewhere outside the Uterus instead of inside the Uterus (where it is supposed to implant) and the situation is likely to become life-threatening for the mother. Ectopic pregnancies usually occur in one of the Fallopian Tubes.

Is it possible to have an ectopic pregnancy?

An ectopic pregnancy occurs when a fertilized egg implants outside of the uterus—most often, in the fallopian tubes, but it’s also possible for an ectopic pregnancy to implant on the ovaries, in the abdomen, or in the cervix. An ectopic pregnancy is a serious condition that can be life-threatening for the mother if left untreated.

What to know about an ectopic or tubal pregnancy?

An ectopic or tubal pregnancy is a pregnancy that develops outside a woman’s uterus (womb).

  • The most common place that ectopic pregnancy occurs is in one of the Fallopian tubes (a so-called tubal pregnancy ).
  • The most serious complication of an ectopic pregnancy is rupture. Leading to intra-abdominal hemorrhage (severe bleeding ).