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Ectopic pregnancies are a diagnostic challenge and can cause significant morbidity and mortality if not detected early. Cornual pregnancies account for 2-4 of all ectopic pregnancies, however the mortality rate is 6-7 times higher than that of other ectopics in general. They are atypical in presentation, manifest later and might be more dangerous. We present a case report of a ruptured cornual pregnancy at 16 weeks of gestational age. The diagnosis and treatment is challenging and constitutes an urgent medical situation. Early sonologic diagnosis is possible and should be pursued when there is an eccentric or intramural sac. Past history of ectopic pregnancy and salpingectomy are known to be associated with this type of pregnancy and should alert the clinician to look closer when these risk factors are present


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