Interstitial pregnancy
Authors:
A. Nesterová 1; B. Boudová 1,2
; J. Kestřánek 1,3
Authors‘ workplace:
Gynekologicko-porodnické oddělení, Oblastní nemocnice Trutnov, a. s.
1; Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze
2; Porodnická a gynekologická klinika LF UK a FN Hradec Králové
3
Published in:
Ceska Gynekol 2022; 87(6): 408-411
Category:
Case Report
doi:
https://doi.org/10.48095/cccg2022408
Overview
Objective: A case report of a patient with interstitial pregnancy and a history of hyperprolactinemia. Case report: A 30-year-old woman was hospitalized for a suspicion of ectopic pregnancy and referred for laparoscopy. During the laparoscopic surgery, interstitial pregnancy was diagnosed and solved with cornuostomy. Conclusion: Ectopic interstitial pregnancy represents a serious worldwide issue because unrecognized, it can endanger a woman’s life, despite advances in ultrasound examination, the diagnosis often remains inaccurate. Laparoscopic surgical approach with evacuation of pregnancy with subsequent uterus suture represents one of the possible approaches. This method is minimally invasive and safe.
Keywords:
Methotrexate – laparoscopy – interstitial pregnancy
Sources
1. Špaček J, Kalousek I, Jílek P et al. Vybrané kapitoly z gynekologie. Praha: Mladá fronta 2018: 302–312.
2. Brincat M, Bryant-Smith A, Holland TK. The diagnosis and management of interstitial ectopic pregnancies: a review. Gynecol Surg 2019; 16 (2): 2–15. doi: 10.1186/s10397-018-1054-4.
3. Gaillard F, Pathania D. Interstitial ectopic pregnancy. 2022 [online]. Available from: https: //radiopaedia.org/articles/1510.
4. Di Tizio L, Spina MR, Gustapane S et al. Interstitial pregnancy: from medical to surgical approach-report of three cases. Case Rep Obstet Gynecol 2018; 2018: 2815871. doi: 10.1155/2018/2815871.
5. Santos LT, Oliveira SC, Rocha LG et al. Interstitial pregnancy: case report of atypical ectopic pregnancy. Cureus 2020; 12 (5): e8081. doi: 10.7759/cureus.8081.
6. Racková J, Driák D, Neumannová H et al. Použití metotrexátu u ektopické gravidity a těhotenství neznámé lokalizace. Ceska Gynekol 2016; 81 (2): 140–146.
7. Maged S, Sonia A, Lisa D et al. Medical management of ectopic pregnancy. Intech Open 2022 [online]. Available from: https: //www.intechopen.com/online-first/80756.
8. Kim MJ, Cha JH, Bae HS et al. Therapeutic outcomes of methotrexate injection in unruptured interstitial pregnancy. Obstet Gynecol Sci 2017; 60 (6): 571–578. doi: 10.5468/ogs.2017.60.6. 571.
9. Mittal S, Shekhar B. Large interstitial ectopic pregnancy: management by laparoscopic cornuostomy following initial misdiagnosis. Cureus 2021; 13 (11): e19280. doi: 10.7759/cureus. 19280.
10. Devi LT, Kuamr S. Surgically assisted medical management of interstitial ectopic pregnancy. Int J Reprod Contracept Obstet Gynecol 2021; 10 (3): 1210–1215. doi: 10.18203/2320-1770.ijrcog20210765.
Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2022 Issue 6
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