Abstract
Cornual pregnancy is a rare form of ectopic pregnancy, accounting for 2–4% of all ectopic pregnancies. The terms interstitial and cornual pregnancy are often used synonymously. Cornual gestation is considered as one of the rarest types of ectopic gestation since it is associated with high maternal risks, including mortality which is doubled compared to classic tubal extra uterine pregnancy. The diagnosis is made by ultrasound and positive human chorionic gonadotropin. The diagnosis and treatment are challenging and constitute a medical emergency. A recent literature review has revealed that no gold-standard is defined in this pathology concerning the diagnosis, the treatment and prognosis. We present a case of a 38-year-old pregnant woman who was admitted at 23 weeks of pregnancy after being diagnosed with an appendicular abscess. An emergency laparotomy was performed with an operative diagnosis of a pre ruptured cornual pregnancy.
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