title: Is interstitial pregnancy clinically different from cornual pregnancy? A case report.
abstract: Interstitial pregnancy is a rare form of ectopic pregnancy with significant risk for morbidity. A 32-year-old woman, was brought to the emergency department with severe abdominal pain and syncope. There was no history of menolipsis and usage of any contraceptive methods. Serum ß hCG arrival was 11224 IU/L. Trans-vaginal ultrasound scan showed an empty uterus with a displaced 16 × 26 mm gestation sac on the left corn of the uterine cavity which surrounded by a thin myometrium. Free abdominal fluid and coagulum were also detected in the cul-de-sac. She was haemodynamically unstable. A ruptured ectopic pregnancy was diagnosed in the left uterine cornu during emergency laparotomy. Cornual resection was performed. Interstitial and cornual pregnancies should be considered as two different clinical situations. It is important to enhance the clinician's suspicion about interstitial/cornual pregnancy. Thus, more detailed examination by transvaginal ultrasonography may contribute for accurate localization and diagnosis.
authors.affiliation: Specialist, Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Research and Training Hospital , Istanbul, Turkey .
authors.forename: Mehmet Akif
authors.initials: MA
authors.lastname: Sargin
authors.affiliation: Associate Professor , Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Research and Training Hospital , Istanbul, Turkey .
authors.forename: Niyazi
authors.initials: N
authors.lastname: Tug
authors.affiliation: Associate Professor, Department of Obstetrics and Gynecology, Zeynep Kamil Maternity and Pediatric Research and Training Hospital , Istanbul, Turkey .
authors.forename: Selçuk
authors.initials: S
authors.lastname: Ayas
authors.affiliation: Assistant Doctor, Department of Obstetrics and Gynecology, Fatih Sultan Mehmet Research and Training Hospital , Istanbul, Turkey .
authors.forename: Murat
authors.initials: M
authors.lastname: Yassa
keywords: Ectopic pregnancy; Rupture; Transvaginal ultrasonography