TITLE:
Spontaneous Twin Cornual Ectopic Pregnancy at 13 Weeks’ Gestation: A Case Report from the Department of Obstetrics and Gynecology, Teaching Hospital of Angre, and Literature Review
AUTHORS:
Yao Privat Akobe, Ramata Kouakou-Kouraogo, Okoin Paul José Loba, Ngolo Alassane Soro, Nguiemeni Blanche Carine Houphouet-Mwandji, Claudia Michelle Gadji, Souleymane Soumahoro, Roland Adjoby
KEYWORDS:
Twin Ectopic Pregnancy, Pelvic Pain, Hemoperitoneum, Cornual Pregnancy, Transvaginal Ultrasound
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.7,
July
8,
2026
ABSTRACT: Spontaneous twin ectopic pregnancy remains an exceptionally clinical entity. Its diagnosis is frequently an incidental finding at laparotomy. We report the case of a 25-year-old gravida 3, para 1 woman with a history of prior cesarean delivery, who presented with a 48-hour history of pelvic pain accompanied by abnormal uterine bleeding at approximately 13 weeks’ gestation, without fever or rupture of membranes. Clinical evaluation and imaging studies raised suspicion of a left twin ectopic pregnancy at 13 weeks’ gestation with moderate hemoperitoneum. Emergency laparotomy confirmed a ruptured left cornual ectopic pregnancy. A left salpingectomy with cornual wedge resection was performed. This case report underscores the critical role of first-trimester transvaginal ultrasound in the early detection and management of ectopic pregnancies.