Abstract
The cornual pregnancy is a rare but life-threatening disease of women. The traditional surgical methods are difficult to reduce the blood loss while preserving uterine integrity. We present a case of a 23-year-old woman complained of menopause for 53 days and vaginal spotting. The human chorionic gonadotropin level was 24953mIU/mL. Transvaginal ultrasound revealed a nechoic area with a germ approximately 15mm in length in the right cornua uteri (26*20mm),and primitive heart tube pulsations were visible. To reduce intraoperative bleeding and avoid damage to the myometrium,there are several key points for our conservative laparoscopic treatment.Tighten the sutures that were previously sewn at the base of the cornual pregnancy mass before transvaginal suction and curettage under the laparoscopic supervision.Fold and sew again outside the purse suture to achieve hemostasis.The operation time was about 20 min,and blood loss was about 15ml. The patient was discharged on postoperative day 2, and the human chorionic gonadotropin level turned negative after 2 weeks. We describe a laparoscopic surgical treatment that does not require incision of myometrium, reduced the blood loss while preserved uterine integrity.