|Year : 2018 | Volume
| Issue : 3 | Page : 170
Reply to comment on an intrauterine gestational sac surrounded by thin myometrium at fundus
Shih-Ting Lai1, Chih-Ping Chen2, Chen-Ju Lin1, Yen-Ni Chen1, Shin-Wen Chen1
1 Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan
2 Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan, Department of Medical Research, Mackay Memorial Hospital, Taipei, Taiwan, Department of Biotechnology, Asia University, Taichung, Taiwan, School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan, Institute of Clinical and Community Health Nursing, Taipei, Taiwan, Department of Obstetrics and Gynecology, School of Medicine, National Yang-Ming University, Taipei, Taiwan
|Date of Web Publication||14-Sep-2018|
Prof. Chih-Ping Chen
Department of Obstetrics and Gynecology, Mackay Memorial Hospital, No. 92, Section 2, Chung-Shan North Road, Taipei 10449
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Lai ST, Chen CP, Lin CJ, Chen YN, Chen SW. Reply to comment on an intrauterine gestational sac surrounded by thin myometrium at fundus. J Med Ultrasound 2018;26:170
|How to cite this URL:|
Lai ST, Chen CP, Lin CJ, Chen YN, Chen SW. Reply to comment on an intrauterine gestational sac surrounded by thin myometrium at fundus. J Med Ultrasound [serial online] 2018 [cited 2021 Mar 2];26:170. Available from: http://www.jmuonline.org/text.asp?2018/26/3/170/241148
We are pleased that Dr. Abdelazim et al. are interested in our paper. We thank them for their valuable comments.
In some studies, the terms “interstitial” and “cornual” pregnancy are frequently used synonymously. Ackerman et al. in Radiology (1993) wrote, “interstitial (cornual) ectopic pregnancy represents 2%–3% of all ectopic pregnancy.” Faraj and Steel  in The Obstetrician and Gynaecologist (2007) wrote, “pregnancies implanted in this site are called interstitial (cornual) pregnancies.” Wright  in Journal of Diagnostic Medical Sonography (2008) wrote, “interstitial ectopic pregnancy, also referred to as a cornual ecopic pregnancy, is a rare form of ectopic pregnancy.” Similarly, Walid and Heaton  in German Medical Science (2010) wrote, “cornual (interstitial) ectopic pregnancy is an uncommon variant of ectopic pregnancy.”
In other studies, the two terms have been used for different types of ectopic pregnancy. Moawad et al. in the American Journal of Obstetrics and Gynecology (2010) wrote, “interstitial pregnancy sometimes is mistakenly referred to as cornual pregnancy and frequently confused with angular pregnancy.” Sargin et al. in Journal of Clinical and Diagnostic Research (2015) wrote, “interstitial and cornual ectopic pregnancy can be used in the place of each other. However, they actually describe two different entities.” Rizk et al. stated that the term “cornual ectopic pregnancy” should only be used in a rudimentary uterine horn, a unicornuate uterus, the cornual region of a septate uterus, a bicornuate uterus, or a uterus didelphys. The current version of William's Obstetrics supports the lemmas of Moawad et al., which describe cornual pregnancy as a conception that develops in the rudimentary horn of a uterus with a Müllerian anomaly.
Strickly by definition, our case should be described as interstitial pregnancy. We very much appreciate the suggestion from Dr. Abdelazim et al. and thank you once again for your time and interest.
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Lai ST, Chen CP, Lin CJ, Chen YN, Chen SW. An intrauterine gestational sac surrounded by thin myometrium at fundus. J Med Ultrasound 2017;25:255-7.
Ackerman TE, Levi CS, Dashefsky SM, Holt SC, Lindsay DJ. Interstitial line: Sonographic finding in interstitial (cornual) ectopic pregnancy. Radiology 1993;189:83-7.
Faraj R, Steel M. Review management of cornual (interstitial) pregnancy. The Obstetrician & Gynaecologist 2007;9:249-55.
Wright CN. Sonographic evaluation of interstitial (cornual) ectopic pregnancy. J Diagn Med Sonogr 2008;24:374-9.
Walid MS, Heaton RL. Diagnosis and laparoscopic treatment of cornual ectopic pregnancy. Ger Med Sci 2010;8:Doc16.
Moawad NS, Mahajan ST, Moniz MH, Taylor SE, Hurd WW. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol 2010;202:15-29.
Sargin MA, Tug N, Ayas S, Yassa M. Is interstitial pregnancy clinically different from cornual pregnqancy? A case report. J Clin Diagn Res 2015;9:QD05-6.
Rizk B, Holliday CP, Abuzeid M. Challenges in the diagnosis and management of interstitial and corneal ectopic pregnancies. Middle East Fertil Soc J 2013;18 235-40.