Authors: DIARI Jed, DARIDO Jessie, BOUZID Nassima, El HADDAD Cynthia, DEROUICHE Yasmine, GREVOULFESQUET Julie, KHADAM Louay, RIGONNOT Luc
Cornual pregnancy is an uncommon rare variant of ectopic pregnancies. Its diagnosis is challenging. Ruptured cornual pregnancy is still encountered nowadays with a very high consequent morbidity and mortality.
We hereby report the case of a ruptured ectopic cornual pregnancy with positive fetal heart that presented with initial hemodynamic stability and that was misdiagnosed on ultrasound to be an abdominal pregnancy in a thirtythree-year-old lady, that was previously operated of two laparotomies. In the presence of free intraabdominal fluid reaching the Morrison’s pouch diagnostic and therapeutic laparoscopy was done and intraoperatively a ruptured cornual ectopic pregnancy is diagnosed and a right cornual resection with ipsilateral salpingectomy are performed after conversion into laparotomy due to operational difficulties and intraabdominal active bleeding.
The ruptured ectopic cornual pregnancy is a situation that should be prevented via an exhaustive first trimester ultrasound examination. The ultrasound remains a helpful but not conclusive tool in the diagnosis of this condition.
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