Diverse Management of Cornual Ectopic Pregnancy: Review of 2 Cases

Abstract

Aims: Cornual or interstitial pregnancy is a rare form of ectopic pregnancy with high maternal morbidity and mortality. Different medical approach may require managing this form of unusual ectopic pregnancies. Presentation of Case: We hereby present two cases of cornual ectopic pregnancies, one of them managed conservatively by potassium chloride and methotrixate. The other patient underwent laparotomy due to haemodynamic instability.  Discussion: Cornual ectopic pregnancy usually presents during late first or early second trimester but it may present as early as 6-8 week period of gestation. Early diagnosis allows a varied choice of treatment options with a high possibility of preserving fertility. Surgical management is reserved for late presentation and patients present with haemodynamic instability. Conclusion: Cornual ectopic pregnancy can present very early in the first trimester. Local KCL with systemic methotrexate can increase the success rate of conservative management in cornual ectopic pregnancies presenting late at first trimester.