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Cornual pregnancy is a rare form of ectopic pregnancy. The incidence is reported as 3% of all ectopic pregnancies accounting 20% of deaths due to ectopic pregnancy. When an unruptured cornual pregnancy is diagnosed, there are a variety of management options. Many successful endoscopic management options for cornual pregnancy have been reported.In this case, cornual resection was performed.The other possible treatment options were reviewed.

Some difficulties have been encountered in treating pregnant patients with choledocholithiasis because of the probable harmful effect of scopic irradiation on fetus when endoscopic retrograde cholangiopancreatography (ERCP) is necessary. In this paper, we present such a patient, in whom endoscopic stone extraction without scopic examination was successfully carried out in the guidance of magnetic resonance cholangiopancreatography (MRCP) before the ERCP procedure.

Ruptured uterus is an obstetric catastrophe and results in significant maternal and perinatal morbidity and mortality in Nigeria.To review the incidence and management of ruptured uterus over the 8-year period (2000-2004 and 2007-2009) and analysis of records of cases of ruptured uterus during the period under review in a descriptive study.The incidence of uterine rupture is 1 in 81 deliveries with a contribution of 13.8% to maternal mortality in Ebonyi State University Teaching Hospital, Nigeria. There was high fetal wastage as 99 (97.1%) of the babies died. The highest incidence of ruptured uterus was found in the para 2-4 group. Teenagers constituted 4 (3.96%) of the cases. Majority of the rupture, 69 (65.4%) occurred anteriorly. Fifty-seven (56.4%) had only repair of the rupture done. The greatest complication was septicemia, which occurred in 32 (31.7%) of the patients.The incidence of uterine rupture is very high in our center. It is one of the highest causes of maternal and perinatal morbidity and mortality. There should be a multi-pronged effort aimed at improving the utilization of medical services by the populace and the health institutions offering efficient obstetric emergency care.

Two cases of Cantrell syndrome occurring over a ten year period are described. One was detected following caesarean section at term and the other underwent termination of pregnancy at 20 weeks following antenatal diagnosis by ultrasound.

A possible method for reducing complications after legally induced first-trimester abortions was sought. One hundred-seventeen patients participated in the study and had the gestational age determined by ultrasound before evacuation. The aspirated amount of tissue was measured and a definite correlation was made to the seventh to twelfth week of gestation respectively. It is concluded that at least 15 ml tissue should be evacuated in the seventh to eight week, 25 ml in the ninth to tenth week, and 35 ml in the eleventh to twelfth respectively.A method for reducing complications from retained tissue requiring readmission after a legally induced 1st trimester abortion is evaluated. Prior attempts had been made to ascertain the reason for an annual 6% of 22,000 readmission rate. 117 women ages 18-42 years requesting legal abortion participated in this study at Bispebjerg Hospital, Copenhagen, Denmark. 47% were primagravida and the median age was 29.5 years. This study determined gestational age of 77-12 weeks by ultrasound for measuring crown-rump length. The abortion was performed by vacuum aspiration, followed by curettage and iv administration of oxytocin 10. Aspirated tissue was measured, after removal of blood clots, in a tube contain g 50 ml of water to eliminate air bubbles. Readmission due to infection or bleeding within the nest month was recorded. Tissue removed in a reevacuation was examined microscopically to ascertain placental or decidua tissue. The results of the analysis using Mann- Whitney's rank sum test for unpaired data revealed a significant difference in amount of aspirated tissue between 7-8 and 9-10 weeks (p.01) and also between 9-10 and 11-12 weeks (p.01). 5% or 6 patients were readmitted of whom 4.2% or 5 required a recurettage because of excessive bleeding. In 3 cases (2.5%) villi chorii were found on histological examination. 2 had a retroverted uterus and all 3 were 8-9 weeks gestation, 25 years, and primagravida. The retroversion would create more difficulty in emptying. It is recommended that retained tissue should be suspected when the amount of tissue after aspiration is 15 ml in the weeks 7-8, 25 ml in the weeks 9-10 and 35 ml in the weeks 11-12 of gestation.