IntroductionCornual pregnancy is rare, accounting for approximately 2-4% of all ectopic pregnancies [1]. By definition, it refers to the implantation and development of a gestational sac at the proximal and lateral regions of the uterus (aka uterine horns or cornua). As with the majority of other types of ectopic pregnancy, cornual pregnancy diagnosis is based on clinical suspicion, β-hCG measurements and transvaginal ultrasound findings [2]. As with other types of ectopic pregnancy, cornual pregnancy is associated with severe patient morbidity and mortality [3]. Therefore, timely and accurate diagnosis is key as it directly affects treatment type and urgency. Several management options are available from the conservative (methotrexate administration and expectant management) up to the more radical side of the spectrum (cornuotomy, cornual resection, hysterectomy) [4]. Hysteroscopy is an additional option that combines effective and complete removal of the gestational sac, without severely affecting uterine anatomy, however its application usually requires imaging guidance [5].In this report, we present the case of a cornual ectopic pregnancy, which could not be diagnosed via traditional ultrasonographic imaging and instead was verified by MRI imaging. Subsequently, guided by the MRI imaging data, hysteroscopic resection and removal of all products of gestation was safely and successfully performed without any complications and with the patient making a swift recovery.
