Ruptured heterotopic interstitial pregnancy: rare case of acute abdomen in a Jehovah's Witness patient.
OBJECTIVE
To report a case of ruptured right heterotopic interstitial pregnancy diagnosed and managed laparoscopically by cornual resection.


METHODS
Case report.


METHODS
University tertiary care hospital.


METHODS
A 29-year-old female Jehovah's Witness patient with first-trimester acute right lower quadrant abdominal pain.


METHODS
Emergency laparoscopy was performed, and the site of bleeding was first clamped with a laparoscopic grasper. The lateral tissue was then coagulated and simultaneously transected with the bipolar-cutting probe for control of hemorrhage.


METHODS
The early diagnosis of heterotopic interstitial pregnancy should enable a conservative approach, whether medical or surgical, to be undertaken when treating this rare and potentially fatal condition.


RESULTS
The treatment of a ruptured heterotopic interstitial pregnancy by laparoscopy was successful with cornual resection.


CONCLUSIONS
Management of a ruptured interstitial pregnancy by laparoscopy was successful with cornual resection and minimal blood loss, and a coexiting intrauterine pregnancy continued satisfactorily.
Lialios
Georgios A
GA
Department of Obstetrics and Gynecology, University of Thessaly Medical School, Larissa, Greece. lialiosg@hotmail.com
Kallitsaris
Athanasios
A
Kabisios
Theodoros
T
Messinis
Ioannis E
IE
D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D033221:Jehovah's Witnesses; D010535:Laparoscopy; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000601:surgery*; D035583:Rare Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012422:Rupture, Spontaneous / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome