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Ruptured cornual (Interstitial) ectopic pregnancy at 16 weeks’ gestation resulting in emergency hysterectomy: A case report

Year: 2026

Type: article

Abstract: Background: Interstitial (cornual) pregnancy is a rare type of ectopic gestation associated with delayed rupture and life-threatening hemorrhage. Case Presentation: A 34-year-old G3P2L2 woman presented at 16+3 weeks with prolonged vaginal bleeding and hemodynamic instability. Ultrasound revealed an empty uterus and a 15–16-week fetus in the pouch of Douglas with massive hemoperitoneum. Emergency laparotomy confirmed ruptured left cornual pregnancy. Conservative surgery failed, necessitating subtotal hysterectomy. Conclusion: Cornual pregnancy is diagnostically challenging and may present late with catastrophic bleeding. Prompt surgical intervention is essential in unstable patients.

Source: International Journal of Clinical Obstetrics and Gynaecology

DOI: 10.33545/gynae.2026.v10.i2l.2136

Authors: Ashwinkumar A Sontakke, Gauri Dudhe

Institution: Government of Maharashtra

Language: English

Topic: Ectopic Pregnancy Diagnosis and Management

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: bronze

OpenAlex ID: W7152527992