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Cornual Pregnancy 

Cornual Pregnancy

Cornual Pregnancy: Understanding a Rare and Serious Condition


Cornual pregnancy, also known as interstitial pregnancy, is a rare and potentially life-threatening form of ectopic pregnancy. It occurs when a fertilized egg implants in the cornual region of the uterus, which is the area where the fallopian tube meets the uterine cavity. This type of pregnancy is particularly dangerous because the embryo can continue to grow unchecked, leading to a higher risk of rupture and severe bleeding. In this blog post, we will explore the causes, symptoms, diagnosis, and treatment options for cornual pregnancy.

Causes of Cornual Pregnancy

Cornual pregnancies are thought to occur due to a variety of reasons, including scarring in the fallopian tubes, abnormalities in the uterus, or previous surgeries such as tubal ligation or cesarean section. These factors can interfere with the normal passage of the embryo through the fallopian tube and increase the likelihood of implantation in the cornual region. Women who have had previous ectopic pregnancies are also at a higher risk for cornual pregnancy.

Symptoms of Cornual Pregnancy

The symptoms of cornual pregnancy can be similar to those of a normal pregnancy, making it difficult to diagnose. However, there are some key signs to watch out for, including severe abdominal pain, vaginal bleeding, dizziness, and shoulder pain. If you experience any of these symptoms, it is important to seek medical attention immediately, as untreated cornual pregnancy can lead to life-threatening complications.

Diagnosis of Cornual Pregnancy

Diagnosing cornual pregnancy can be challenging, as it often presents with symptoms similar to other gynecological conditions. Your healthcare provider will likely perform a combination of blood tests, pelvic exams, and imaging studies to confirm the diagnosis. Transvaginal ultrasound is the most commonly used imaging modality for detecting cornual pregnancy, as it can visualize the embryo in the cornual region of the uterus.

Treatment Options for Cornual Pregnancy

The treatment options for cornual pregnancy depend on various factors, including the size of the embryo, the presence of symptoms, and the stability of the patient. In some cases, conservative management may be appropriate, where the pregnancy is monitored closely to see if it resolves on its own. However, if there is a risk of rupture or severe bleeding, surgical intervention may be necessary. This can involve either laparoscopic surgery to remove the embryo or cornual resection to remove a portion of the uterus.


In conclusion, cornual pregnancy is a rare but serious condition that requires prompt diagnosis and treatment to avoid potentially life-threatening complications. If you experience symptoms such as severe abdominal pain or vaginal bleeding during early pregnancy, it is crucial to seek medical attention immediately. By understanding the causes, symptoms, diagnosis, and treatment options for cornual pregnancy, you can be better informed and prepared to make important decisions about your health and well-being.

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