Cornual ectopic pregnancy: A rare case report

Abstract

Cornual ectopic pregnancy is a rare and potentially life-threatening form of ectopic gestation. We report a case of a 32-year-old woman, gravida 2 para 1, who presented with acute pelvic pain and vaginal bleeding at six weeks of amenorrhea. The initial ultrasound showed an empty uterine cavity with a hematosalpinx in the right cornual region. The diagnosis was confirmed by transvaginal ultrasound and serum beta-hCG levels. Given the high risk of rupture and hemorrhage, the patient underwent laparotomic removal of the ectopic pregnancy while preserving the cornual region with meticulous hemostasis. Postoperative follow-up was uneventful, and the patient was discharged on the third day. This case highlights the importance of early diagnosis and appropriate management to reduce maternal morbidity and mortality.