Case report: laparoscopic treatment of a ruptured interstitial pregnancy.
Interstitial pregnancy is a rare but life-threatening condition. A case of a 28-year-old woman with a partially ruptured interstitial pregnancy treated with operative laparoscopy is presented. A laparoscopic cornual resection and a left salpingectomy were performed uneventfully. Serum beta-human chorionic gonadotrophin concentrations were measured serially at weekly intervals until resolved on day 20 postoperatively. It seems, therefore, that laparoscopic treatment is still an effective option for management even in ruptured interstitial pregnancy, preserving the anatomical integrity of the uterus and future fertility, and that rupture of interstitial ectopic pregnancy is not a contra-indication for laparoscopy.
Grimbizis
Grigoris F
GF
1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Greece, Tsimiski 51, 546 23 Thessaloniki, Greece. grimbi@med.auth.gr
Tsalikis
Tryfon
T
Mikos
Themistoklis
T
Zepiridis
Leonidas
L
Athanasiadis
Apostolos
A
Tarlatzis
Basil C
BC
Bontis
John N
JN
D000328:Adult; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005187:Fallopian Tubes; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012422:Rupture, Spontaneous
D018997:Chorionic Gonadotropin, beta Subunit, Human