Abstract
Cornual pregnancy constitutes an emergency while its diagnosis and management remain a challenge. Anatomical abnormalities in the uterus, such as fibroids in the cornual region, make the management even more difficult. A nulliparous patient presented with an ectopic pregnancy at the right cornua under a huge fibroid. Despite multiple doses of methotrexate for a cornual ectopic gestation, the serum beta human chorionic gonadotropin (β-hcG) levels doubled on the fifth day and a viable fetus was demonstrated on imaging. Thus surgical intervention in the form of laparoscopy followed by laparotomy, myomectomy of a large cornual fibroid and cornuostomy was performed. The serum beta human chorionic gonadotropin result was negative three weeks later. Surgical intervention in the form of myomectomy and cornuostomy was necessary to preserve fertility in this unusual presentation of cornual ectopic pregnancy.
Publication details
- DOI
- 10.18295/2075-0528.1300
- Journal
- Sultan Qaboos University Medical Journal, 11(3), 399-402
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
AL-Kharusi, L., Gowri, V., Al-Ghafri, R., Wadha, & Rao, K. (2025). Submyomatous Cornual Pregnancy: Managed surgically after failed medical management. Sultan Qaboos University Medical Journal, 11(3), 399-402. https://doi.org/10.18295/2075-0528.1300
MLA 9
AL-Kharusi, Lamya, et al. "Submyomatous Cornual Pregnancy: Managed surgically after failed medical management." Sultan Qaboos University Medical Journal, vol. 11, no. 3, 2025, pp. 399-402. https://doi.org/10.18295/2075-0528.1300.
Chicago (author–date)
AL-Kharusi, Lamya, Vaidyanathan Gowri, Rashid Al-Ghafri, Wadha, and Kuntal Rao. 2025. "Submyomatous Cornual Pregnancy: Managed surgically after failed medical management." Sultan Qaboos University Medical Journal 11 (3): 399-402. https://doi.org/10.18295/2075-0528.1300.
Harvard
AL-Kharusi, L., Gowri, V., Al-Ghafri, R., Wadha and Rao, K. (2025) 'Submyomatous Cornual Pregnancy: Managed surgically after failed medical management', Sultan Qaboos University Medical Journal, 11(3), pp. 399-402. doi:10.18295/2075-0528.1300.
Vancouver
AL-Kharusi L, Gowri V, Al-Ghafri R, Wadha, Rao K. Submyomatous Cornual Pregnancy: Managed surgically after failed medical management. Sultan Qaboos University Medical Journal. 2025;11(3):399-402. doi:10.18295/2075-0528.1300
IEEE
L. AL-Kharusi, V. Gowri, R. Al-Ghafri, Wadha, and K. Rao, "Submyomatous Cornual Pregnancy: Managed surgically after failed medical management," Sultan Qaboos University Medical Journal, vol. 11, no. 3, pp. 399-402, 2025, doi: 10.18295/2075-0528.1300.