Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case Report

Background: Cornual gestation is one of the most hazardous types of ectopic gestation. It carries a significant challenge and a greater maternal mortality risk than ampullary ectopic pregnancy. The diagnosis and treatment are challenging and frequently constitute a medical emergency. Traditionally,...

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Main Authors: Usman M. Bello, Murtala Yusuf, Zainab Garba
Format: Article
Language:English
Published: Ntec Specialist 2022-01-01
Series:Kanem Journal of Medical Sciences
Subjects:
Online Access:https://www.ajol.info/index.php/kjms/article/view/236573/223532
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author Usman M. Bello
Murtala Yusuf
Zainab Garba
author_facet Usman M. Bello
Murtala Yusuf
Zainab Garba
author_sort Usman M. Bello
collection DOAJ
description Background: Cornual gestation is one of the most hazardous types of ectopic gestation. It carries a significant challenge and a greater maternal mortality risk than ampullary ectopic pregnancy. The diagnosis and treatment are challenging and frequently constitute a medical emergency. Traditionally, the treatment of cornual pregnancy has been hysterectomy or cornual resection at laparotomy. However endoscopic approach is a viable option and consists of conservative techniques such as laparoscopic cornual resection, laparoscopic cornuostomy, laparoscopic salpingectomy or hysteroscopic removal of interstitial ectopic tissue. Case presentation: We report a case of a 28-year-old multipara who had an unruptured left cornual ectopic gestation with moderate pelvic adhesions and concomitant partial intestinal obstruction. She was managed via laparoscopic adhesiolysis and left total salpingectomy. Conclusions: Cornual pregnancy occurs rarely, there is a need for early and prompt diagnosis to prevent potentially fatal complications.
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spelling doaj.art-4d9acba830e74112bde56b2a5bb0b3db2022-12-22T04:23:50ZengNtec SpecialistKanem Journal of Medical Sciences2006-47722714-24262022-01-011527073doi.org/10.36020/kjms.2022.1601.00820221Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case ReportUsman M. Bello0Murtala Yusuf1Zainab Garba2Department of Surgery, Bayero University Kano, Kano, NigeriaDepartment of Obstetrics and Gynaecology, Bayero University Kano, Kano, NigeriaDepartment of Obstetrics and Gynaecology Aminu Kano Teaching Hospital, Kano, Kano, NigeriaBackground: Cornual gestation is one of the most hazardous types of ectopic gestation. It carries a significant challenge and a greater maternal mortality risk than ampullary ectopic pregnancy. The diagnosis and treatment are challenging and frequently constitute a medical emergency. Traditionally, the treatment of cornual pregnancy has been hysterectomy or cornual resection at laparotomy. However endoscopic approach is a viable option and consists of conservative techniques such as laparoscopic cornual resection, laparoscopic cornuostomy, laparoscopic salpingectomy or hysteroscopic removal of interstitial ectopic tissue. Case presentation: We report a case of a 28-year-old multipara who had an unruptured left cornual ectopic gestation with moderate pelvic adhesions and concomitant partial intestinal obstruction. She was managed via laparoscopic adhesiolysis and left total salpingectomy. Conclusions: Cornual pregnancy occurs rarely, there is a need for early and prompt diagnosis to prevent potentially fatal complications.https://www.ajol.info/index.php/kjms/article/view/236573/223532ectopiccornuallaparoscopy
spellingShingle Usman M. Bello
Murtala Yusuf
Zainab Garba
Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case Report
Kanem Journal of Medical Sciences
ectopic
cornual
laparoscopy
title Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case Report
title_full Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case Report
title_fullStr Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case Report
title_full_unstemmed Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case Report
title_short Laparoscopic salpingectomy and adhesiolysis for concomitant left-sided cornual ectopic gestation and adhesive partial intestinal obstruction: A Case Report
title_sort laparoscopic salpingectomy and adhesiolysis for concomitant left sided cornual ectopic gestation and adhesive partial intestinal obstruction a case report
topic ectopic
cornual
laparoscopy
url https://www.ajol.info/index.php/kjms/article/view/236573/223532
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AT murtalayusuf laparoscopicsalpingectomyandadhesiolysisforconcomitantleftsidedcornualectopicgestationandadhesivepartialintestinalobstructionacasereport
AT zainabgarba laparoscopicsalpingectomyandadhesiolysisforconcomitantleftsidedcornualectopicgestationandadhesivepartialintestinalobstructionacasereport