Cornual Ectopic Pregnancy: Diagnostic and Therapeutic Difficulties, a Case Report at the Teaching Hospital of Angre / Abidjan (Ivory Coast)

Abstract

Cornual ectopic pregnancy (CEP) is defined by implantation of the ovular sac in the rudimentary horn of a bicorn uterus. By extension, pregnancies implanted in the horn of a partitioned uterus or in the stump of a fallopian tube in a patient who has undergone a salpingectomy are sometimes grouped under this definition. This is a rare pathology in daily practice and it represents about 2% of EP with a mortality rate of 2-2.5% per uterine rupture, doubled compared to other tubal ectopic pregnancy. We report a case of late evolutionary left cornual pregnancy in myomatous uterus, discovered with minimal blackish metrorrhagia with pelvic pain due to 10-week amenorrhea in a 30-year-old patient, gravida 7 primipara (5 spontaneous miscarriages). After a diagnostic wandering, the exploratory laparotomy confirmed a left cornual pregnancy in myomatous uterus. A cornual resection was carried out with simple postoperative recoveries.