# Coexistence of Cornual Pregnancy and Placenta Increta: A Report of a Rare Case

## TL;DR

A rare case of cornual pregnancy combined with placenta increta is reported, highlighting the risk of uterine rupture and the need for careful diagnosis.

## Contribution

This is the first reported case of cornual pregnancy coexisting with placenta increta in a patient without prior uterine surgery.

## Key findings

- A 37-year-old woman was diagnosed with cornual pregnancy and placenta increta without prior uterine surgery.
- Surgical exploration confirmed uterine rupture and histopathology confirmed the coexistence of cornual pregnancy and placenta increta.
- The case emphasizes the need for high suspicion of PAS in atypical presentations to prevent complications.

## Abstract

Placenta accreta spectrum (PAS) comprises abnormal placental adherence to the uterine wall, typically associated with prior cesarean or other uterine surgery. Cornual pregnancies are a rare form of ectopic gestation, associated with a high risk of uterine rupture.

We describe the case of a 37-year-old woman with no prior uterine surgeries, who was diagnosed with a cornual pregnancy associated with placenta increta. Ultrasound findings included fetal malformations and signs of placental invasion. After fetal demise and termination, surgical exploration revealed a uterine rupture at the right cornua. The histopathological examination confirmed a cornual pregnancy with placenta increta. This case underscores the importance of maintaining a high index of suspicion for PAS in atypical clinical contexts, particularly when coexisting with cornual pregnancy, due to the elevated risk of uterine rupture.