• Gorkem Tuncay, Abdullah Karaer, Ebru Inci Coskun, and Rauf Melekoglu.
• Dr. Gorkem Tuncay MD. Assistant Professor, Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Inonu University Faculty of Medicine, Malatya, Turkey.
• Pak J Med Sci. 2018 Jul 1; 34 (4): 1010-1013.

ObjectiveTo demonstrate the outcome of intralesional management and show the safety of local treatment of cornual pregnancy.MethodsEight patients were treated with local methotrexate or potassium chloride injection. All patients underwent transvaginal ultrasound examination and were diagnosed by the criteria defined by Timor-Tritsch. In the case of fetal heart beat observation, potassium chloride was injected; and in the case of no heart beat detection, methotrexate was used. A follicle aspiration needle was inserted directly into the gestational sac under transvaginal guidance.ResultsAlthough it has been considered to be a risk factor, none of the patients in our study had previous ectopic pregnancy, history of infertility / in vitro fertilization, or cornual pregnancy. One of the patients had a medical history of abortion. In four cases, methotrexate was injected, and three patients received potassium chloride as a local treatment. None of the patients had any complication in the peri- or postoperative period.ConclusionUsing a local approach, the treatment agent can reach the area of the cornual pregnancy in high concentrations. Based on this case series, a local approach seems to be an effective and fertility-sparing method for treating unruptured cornual pregnancies.

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