Laparoscopic Management of Cornual Ectopic Pregnancy: A Narrative Review

Cornual ectopic pregnancy is a rare obstetric condition characterised by high diagnostic complexity and a significant risk of serious haemorrhagic complications. The specific vascularisation of the uterine horn increases the likelihood of uterine rupture, typically occurring in later stages of pregnancy and leading to higher maternal morbidity. In this context, advances in minimally invasive surgery have established the laparoscopic approach as a treatment option for selected patients. This narrative review aims to synthesise the available evidence regarding the laparoscopic management of cornual ectopic pregnancy by analysing the anatomical and pathophysiological basis, the main diagnostic challenges, the therapeutic alternatives, and the laparoscopic surgical techniques currently in use. The review also examines reported clinical outcomes, the profile of complications, and considerations related to fertility preservation. Based mainly on evidence derived from case reports, small case series, and retrospective observational studies, laparoscopic treatment performed by experienced teams appears to be associated with favourable clinical outcomes and acceptable safety profiles in selected patients; however, the heterogeneity and limited level of evidence underscore the need for further comparative and prospective studies.