Abstract
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.