KEYWORDS:
Cornual pregnancy, Local treatment, Methotrexate, Potassium chloride.
The diagnosis of
cornual occlusion was made if there is no passage of dye to the fallopian tubes.
Traditionally, the treatment of interstitial pregnancy involves hysterectomy or
cornual resection, although more conservative approaches have been recently introduced.
Transvaginal ultrasound-guided methotrexate injection of
cornual ectopic pregnancy.
Although the ultrasound and CT scan abdomen showed haemoperitonuem the
cornual uterine defect remained undiagnosed and the cause of bleed was mistakenly attributed to the liver cyst.
The temporal crest began below the
cornual process and ended into a sharp and small tubercle caudolateral to the external auditory meatus, while it ended into a blunt tubercle in Kagani goat [6] and cattle 13].
The interstitial or
cornual region that traverses the muscular wall of the uterus.
In the same study, 28.2% (n = 9) of patients complained of abdominal pain a between days 4 and 8, and one patient was found to have a ruptured
cornual ectopic pregnancy at laparoscopy.
Cornual occlusion and hydrosalpinx were the leading abnormalities of the fallopian tube, being 32.2% and 20.3% respectively, while beading was the least tubal abnormality recorded in 1.4%, suggesting that abnormalities of the fallopian tube are probably still a prominent contributor to infertility in their community.
Methotrexate may be used for primary treatment of ectopic pregnancy, for persistent ectopic pregnancy following tubal sparing surgery, as prophylaxis to reduce persistent ectopic pregnancy following salpingostomy, and in
cornual and cervical pregnancies.