본이화의대산부인과에서 과거8년간 총분만 13942예중 자궁각임신파열은 첫예이었다.

In the 8 year period from Jan. 1963 to May 1970, a single case of ruptured cornual pregnancy was experienced in a total of 13,942 deliveries at Ewha Womans University Hospital Seoul. The patient, gravida 3, para 2, 41 year of age, 20 wks pregnant woman was admitted into emergency room in may 24, 1970 with shock state followed by continuous lower abdominal pain with occasional vomiting for passed 3 days. The patient believed by herself that she has been pregnant for 5 months with last menstrual period started from Dec. 23, 1969, with 3 days duration. On the admission blood pressure was 60/30 mmHg, pulse 120/min, and the abdomen showed relatively flat and no appreciable tender or rigidity at that moment which is to be believed a usual clinical characteristics of cornual pregnancy after it`s rupture has been occured. We are suspected that was a definit acute abdomen either a ruptured malignant destructive mole or ruptured tubal pregnancy, and was operated immediatly. The operative finding showed that the right cornus of the uterus was completely ruptured and both the dead fetus with 20 wks gestation and completely separated placenta were escaped from the cornual into the abdominal cavity freely. Following total abdominal hysterectomy with bilateral salpingo-oophorectomy and 4 pints of blood transfusion given the patient was recovered well in 7 days hospitalization.