Cornual Pregnancy Treated with Dilatation and Curettage Under Laparoscopic Guidance: A Report of Two Cases

Objective: Cornual pregnancy must be differentiated as either angular pregnancy or interstitial pregnancy. Angular pregnancy may develop without incident or abort into the uterine cavity. In contrast, interstitial pregnancy always ruptures with potentially lethal results. Early diagnosis of angular pregnancy and interstitial pregnancy is critical, so that appropriate management can be instituted. Case Reports: Two pregnant women presented with left pelvic pain and vaginal spotting. Ultrasonography identified left cornual pregnancy and both underwent dilatation and curettage (D&C) under laparoscopic guidance. During surgery, the angular pregnancy in a bicornuate uterus remained asymptomatic, but the interstitial pregnancy resulted in heavy bleeding from the uterus. However, hemostasis was achieved after cornual resection. Conclusion: Our experience showed that D&C is an ideal alternative to conventional invasive surgery for angular pregnancy. However, it may be less suitable for interstitial pregnancy because of the potential for bleeding, leading to the need for cornual resection.