Abstract:

The clinical data of 2 cases of cornual pregnancy were reported. The clinical characteristics and treatment plan were summarized, and were analyzed in detail combined with literature review. The etiology of cornual pregnancy may be related to pelvic inflammatory disease, abnormal uterine morphology or uterine space occupying, assisted reproductive technology and other factors. However, it is not clear until now. Cornual pregnancy is prone to misdiagnosis and missed diagnosis during early pregnancy. Ultrasound and magnetic resonance imaging can improve the accuracy of diagnosis. Laparoscopic surgery and laparoscopic direct vision tissue aspiration of cornual pregnancy can be performed before the vital signs are stable or the lesions are not ruptured or bleeding heavily. If the patient has suffered from intraperitoneal hemorrhage and shock, or has serious abdominal adhesions, or has a bigger gestational age or a bigger fetus, open surgery should be performed as soon as possible. After treatment of cornual pregnancy, the strict follow-up is required. For those with cornual wedge resection or cornual perforation during uterine aspiration, strict contraception is required for at least 6 months, and for the best being 2 to 3 years. Watch out for recurrent cornual pregnancy, uterine rupture and placenta implantation after a second pregnancy.

Key words: Pregnancy, cornual, Ultrasonography, Labor, induced, Diagnosis, Therapy