WOMENS-HEALTH Messages for December, 2008: Re: CORNUALPREGNANCY: Cornual pregnancy diagnosis and questions

Re: CORNUALPREGNANCY: Cornual pregnancy diagnosis and questions

From: constance (anonymous@obgyn.net)
Thu, 25 Dec 2008 22:19:13 -0600 (CST)

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At Mon, 6 Oct 2008, Zil wrote: >
>Hi - I had a laparoscopy (cornual wedge uterine resection and tube
>removal) on 9/18/2008 to address what was diagnosed as a cornual ectopic
>pregnancy. I was 11wks 2dys pregnant at the time and really wanted this
>baby - so it was a huge heartbreak.
>
>I was wondering if there's anyone else out there who had a cornual
>ectopic. If so, how were you diagnosed.
>
>None of my scans, including the MRI, were conclusive. The ultrasounds
>just showed the sac high in the corner of the uterus - this was first
>flagged on 9/11 with a second scan on 9/17 showing the sac moving right
>and not dropping into the uterus - but it had 360-degrees of myometrium
>and nothing obvious in the cornua. The MRI showed 8mm myometrium all
>the way around with the bulging into the right cornua, but no placenta
>in the cornua.
>
>Apparently cornual pregnancies are not all that common (i went to a big
>teching hospital for OB care - and they only see a handful like this per
>year), so I'm wondering if this is the standard diagnosis given my
>results. Should it have been watched a little longer before action was
>taken?
>
>In reading through the pathology reports, there's nothing that states
>the placenta was found in the portion of my tube that was removed - yet
>the final diagnosis was "cornual pregnancy".
>
>To follow-up, is it safe to get pregnant after a uterine resection? What
>tests would I need to ask for? I know I would need IVF.
>
>Thanks for any insight.
>
>--
>Zil
>

is it safe for pregnancy if you have had a utrine resection

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