Submyomatous cornual pregnancy managed surgically after failed medical management

Abstract EN

Corneal pregnancy constitutes an emergency while its diagnosis and management remain a challenge.

Anatomical abnormalities in the uterus, such as fibroids in the corneal region, make the management even more difficult.

A nulliparous patient presented with an ectopic pregnancy at the right cornea under a huge fibroid.

Despite multiple doses of methotrexate for a corneal 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 corneal 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 corneal ectopic pregnancy.