Cornual Pregnancy: Report of Two Cases

Cornual pregnancy is a rare condition. Mortality and morbidity are directly correlated with the duration of diagnosis. A cornual pregnancy, when compared with other tubal pregnancies, tends to rupture later due to the greater distensibility of the myometrium. Interstitial pregnancy may lead to catastrophic hemorrhage and death because of advanced vascularity. Herein, we report two cases of cornual pregnancies. Case 1: A 25-year-old, gravida 1, para 0, abortus 0 woman was operated for acute abdomen. Abundant coagula and hemorrhage were seen. A ruptured left cornual pregnancy was determined. Both tubes and ovaries had normal appearance. Cornual excision procedure was carried out. Case 2: A 38-year-old, gravida 8, para 2, curettage 5, abortus 0 woman applied to the outpatient clinic with the complaint of delayed menstruation. Her history revealed an operation for ectopic pregnancy two years before. Transvaginal sonography revealed a normally appearing uterus, an empty uterine cavity and an ectopic pregnancy on the left cornual region with 20 mm crown rump length corresponding to 8w4d gestation with cardiac activity. Surgery was performed thereafter. An ectopic 4 cm mass on the right cornual region was confirmed. The right tube was absent; the left tube and each ovary were normal. Total abdominal hysterectomy procedure was performed, and the material was sent for pathological examination. In this paper, cornual pregnancy and treatment modalities are discussed.