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Background: A cornual pregnancy is an ectopic pregnancy that develops in the interstitial portion of the Fallopian tube, invading through the uterine wall. Cornual pregnancies often rupture later than other tubal pregnancies because the myometrium is thick and more distendable than the Fallopian tubes are. Cornual pregnancy is usually associated with high vascularity, which may result in severe hemorrhage and death. Morbidity and mortality of cornual pregnancy are directly related to length of time for diagnosis. Case: A 30-year-old woman in her eighth week of pregnancy had abdominal pain and vaginal spotting. Ultrasound (US) examination showed a bulky uterus together with a gestational sac situated in the left cornual region. Left cornual resection was carried out with preservation of the uterus. Results: The patient's postoperative course and follow-up were uneventful. Conclusions: Cornual pregnancy is a very rare and potentially dangerous condition. Diagnosis of cornual pregnancy can be made via US examination. Cornual resection was done in the present case without immediate or long-term complications ( J GYNECOL SURG 29:314).

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Background: Huge cervical polyps are rarely encountered in gynecologic practice. A cervical polyp is a growth arising from the mucosal surface of the ectocervix or the endocervical canal. A cervical polyp may be the result of infection, an abnormal response to increased levels of estrogen, and local congestion of cervical vessels. Cervical polyps are typically benign and are rarely seen prior to the onset of menarche. Case: This article describes a case of a giant cervical polyp of 10 cm occurring in a 16-year-old virgin who clinically presented with severe metrorrhagia. Results: The polyp was excised abdominally with no recurrence 6 months after surgery. Conclusions: Giant cervical fibroids are rare but may occur at any age. Accurate diagnosis is needed before any intervention. Vaginal polypectomy is the treatment of choice for most of cervical polyps. Histologic examination for all cervical polyps is recommended to exclude malignancy. ( J GYNECOL SURG 29:327)