Misdiagnosed ruptured cornual ectopic pregnancy: Case report and literature review

Ruptured ectopic pregnancy is a leading cause of maternal morbidity and mortality worldwide. Cornual specific type that occurs at the horn uterus. It often ruptures later than more common tubal pregnancies because distensible myometrial tissues surrounding gestational sac. The diagnosis cornual poses lot challenges to sonographers its closeness body uterus necessitating skill expertise. Rupture life threatening associated massive haemorrhage. Treatment mostly by emergency laparotomy resection with salpingectomy or hysterectomy. Here, we report case 11 weeks age was misdiagnosed as intra uterine gestation until it ruptured. Patient had right ipsilateral salpingectomy. morbidities mortalities should be prevented through detailed early first trimester examinations. Ultrasonography especially transvaginal modality remains very helpful but occasionally inconclusive tool in this life-threatening condition.