Laparoscopic treatment of interstitial twin pregnancy.
OBJECTIVE
To describe a conservative management by laparoscopy of an unusual interstitial twin pregnancy.


METHODS
Case report.


METHODS
University hospital.


METHODS
A 27-year-old woman, pregnant at 6th week of amenorrhea with interstitial twin pregnancy.


METHODS
The woman was submitted to two- and three-dimensional transvaginal ultrasound and to diagnostic hysteroscopy. Subsequently, we performed a laparoscopic procedure: conical exeresis of the uterine cornu using a monopolar hook without involving the uterine cavity.


METHODS
Conservation of the uterus, fertility preservation.


RESULTS
Successful conservative treatment of interstitial twin pregnancy.


CONCLUSIONS
Conservative laparoscopic surgery can be used successfully in hemodynamically stable patients with an interstitial pregnancy.
Casadio
Paolo
P
Department of Obstetrics and Gynecology, University Hospital of Bologna, Policlinico S.Orsola-Malpighi, Via Massarenti 13, Bologna, Italy. p.casadio@unibo.it
Formelli
Guido
G
Spagnolo
Emanuela
E
De Angelis
Denise
D
Marra
Elena
E
Armillotta
Francesca
F
Salfi
Nunzio
N
Ghi
Tullio
T
Giunchi
Susanna
S
Meriggiola
Maria Cristina
MC
Perrone
Anna Myriam
AM
Pelusi
Giuseppe
G
D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007091:Image Processing, Computer-Assisted; D010535:Laparoscopy / Q000379:methods*; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D014427:Twins; D014463:Ultrasonography; D014599:Uterus / Q000601:surgery; D014621:Vagina / Q000000981:diagnostic imaging