Introduction
Ectopic pregnancy is a common and potentially hazardous condition in
which a viable ovum implants somewhere other than the uterine corpus
[1]. Cornual pregnancy (CP) is considered the most troublesome sort
of ectopic pregnancy due to low affectability, the explicitness of side
effects, and imaging analyses [2]. CP is an extremely rare entity in
the general population, particularly in spontaneous pregnancies, and
accounts for 2-4% of ectopic pregnancies [1, 2]. The exemplary
triad of CP—stomach agony, amenorrhea, and vaginal dying—happens in
under 40% of patients [2]. Transvaginal ultrasound and β-HCG are
imperative for the early diagnosis of CP [3]. Ultrasonography should
be used to establish CP management (particularly three-dimensional
ultrasonography). According to the size and viability of the pregnancy,
the procedure should be planned [4]. Laparotomy is typically used
to manage CP [3]. Adequate suturing of uterine cornua could preclude
the risk of rupture during upcoming pregnancies. Decreased blood loss
during and after the operation is a priority [4]. Aside from
surgical treatment, CP can also be managed conservatively by (systemic
or local) methotrexate injections. Methotrexate therapy is typically
ineffective in advanced cornual pregnancies with elevated β -HCG levels
[1, 3].