Abstract
Ectopic pregnancies comprise approximately 1-2% of all pregnancies, with most occurring in the ampulla of the fallopian tube. Cornual pregnancy after ipsilateral salpingectomy is rare. We report a case of spontaneous cornual pregnancy 8 months after ipsilateral salpingectomy for isthmic pregnancy in a 32-year-old woman. In our patient, the gestational sac was not visualized in the uterus at 5 weeks of gestation. The patient experienced abdominal pain and an ultrasound examination revealed a hematoma around the right cornual region. Emergency laparoscopy was performed, which revealed the ruptured cornual pregnancy and surrounding hematoma. A wedge-shaped incision was made at the site of the cornual pregnancy, followed by myometrial suturing. In cornual pregnancies, the risk of rupture should be considered even in the early pregnancy stages.
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