Cornual Ectopic Pregnancy: a Case series and Literature review

Background: Cornual (interstitial) ectopic pregnancy is an uncommon type of ectopic pregnancy which accounts for 2%-4% of all ectopic pregnancies. It often poses a diagnostic and therapeutic challenge with a high mortality risk as a result of massive intraperitoneal bleeding. We report review of three cases of cornual ectopic pregnancy. Objective: To describe clinical presentation and management of cornual ectopic pregnancy cases Methods: Three cases of cornual ectopic pregnancy were retrospectively analyzed Results: Successful cornual wedge resection and removal of products of conception was performed in two cases (one ruptured and the other unruptured), while the 3rd case (ruptured with massive hemorrhage) was managed with hysterectomy. Conclusion: Early diagnosis of cornual ectopic pregnancy gives patients a wider opportunity to have conservative management either with MTX or laparascopic surgery. However; whenever there is hemodynamic instability, laparotomy with either cornual resection or hysterectomy is advisable.