title: Case report: laparoscopic treatment of a ruptured interstitial pregnancy.
abstract: 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.
authors.affiliation: 1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Greece, Tsimiski 51, 546 23 Thessaloniki, Greece. grimbi@med.auth.gr
authors.forename: Grigoris F
authors.initials: GF
authors.lastname: Grimbizis
authors.forename: Tryfon
authors.initials: T
authors.lastname: Tsalikis
authors.forename: Themistoklis
authors.initials: T
authors.lastname: Mikos
authors.forename: Leonidas
authors.initials: L
authors.lastname: Zepiridis
authors.forename: Apostolos
authors.initials: A
authors.lastname: Athanasiadis
authors.forename: Basil C
authors.initials: BC
authors.lastname: Tarlatzis
authors.forename: John N
authors.initials: JN
authors.lastname: Bontis
mesh_terms: 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
chemical_list: D018997:Chorionic Gonadotropin, beta Subunit, Human