Cornual Pregnancy: A Rare and High-Risk form of Ectopic Pregnancy

Abstract Background: Cornual pregnancy is a rare and potentially life-threatening type of ectopic pregnancy, accounting for approximately 2–3% of all ectopic cases. This condition is particularly challenging due to diagnostic and management complexities. It remains a significant cause of hemorrhagic shock during the first trimester, often with severe outcomes if untreated. The aim of this study was to analyze and assess the diagnostic methods and treatment strategies employed in managing cornual pregnancy. A retrospective analysis was conducted, covering 17 cases diagnosed. Results indicated that while surgical management, primarily through laparoscopy, was the most commonly used treatment method, medical alternatives such as methotrexate also showed promising results. The findings emphasize the importance of early diagnosis and individualized treatment approaches to optimize outcomes. Keywords: Cornual pregnancy, Ectopic pregnancy, Pelvic pain, Laparoscopy, Methotrexate.