Cornual Pregnancy with Uterine Rupture: A Case Report

Cornual pregnancy, a rare and hazardous form of ectopic pregnancy, can cause massive hemorrhage and death. We present a 38-year old lady who was brought to our Emergency Department at 30+6 weeks of gestation for abdominal pain and hypotension due to uterine rupture as a result of left cornual pregnancy. Here, we highlight how cornual pregnancy can be confused with normal intrauterine pregnancy, as well as the catastrophic complications of uterine rupture and fetal demise associated with cornual pregnancy. This case report demonstrates the importance for an emergency physician to maintain the suspicion for ectopic pregnancy even at advanced gestational age.