Abstract

*Dr. Oumaima Damoun, Kawtar Cherradi, Salma Tahri Jautei, Samir Bargach

ABSTRACT

Cornual pregnancy is a rare variant of ectopic pregnancy, yet it carries a disproportionately high risk of uterine rupture and life-threatening hemorrhage. We report the case of a 34-year-old woman, gravida 2 para 2, with a history of two previous cesarean sections, who presented with left iliac fossa pain, vaginal bleeding, and 6 weeks of amenorrhea, accompanied by a positive home pregnancy test. Clinical examination revealed marked hemodynamic instability, including tachycardia, hypotension, and cutaneous-mucosal pallor. Transvaginal ultrasound demonstrated an empty uterine cavity and a 3 cm gestational sac located in the left cornual region, surrounded by a thin myometrial layer, with minimal pelvic free fluid in the pouch of Douglas. Emergency exploratory laparotomy confirmed the diagnosis. A left cornual resection with ipsilateral salpingectomy was successfully performed, and the postoperative course was uneventful. Early diagnosis and prompt management remain essential to prevent severe maternal complications and optimize clinical outcomes.