title: Ruptured heterotopic interstitial pregnancy: rare case of acute abdomen in a Jehovah's Witness patient.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, University of Thessaly Medical School, Larissa, Greece. lialiosg@hotmail.com
authors.forename: Georgios A
authors.initials: GA
authors.lastname: Lialios
authors.forename: Athanasios
authors.initials: A
authors.lastname: Kallitsaris
authors.forename: Theodoros
authors.initials: T
authors.lastname: Kabisios
authors.forename: Ioannis E
authors.initials: IE
authors.lastname: Messinis
mesh_terms: 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