Abstract

ARELLANO-BORJA, Alejandro; ANTILLON-VALENZUELA, José; GONZALEZ-OLIVOS, Abraham J  and  MOJARRA-ESTRADA, José María. Conservative laparoscopic management of an unruptured interstitial ectopic pregnancy: A case report, surgical technique and review of literature. Perinatol. Reprod. Hum. [online]. 2012, vol.26, n.2, pp.121-128. ISSN 2524-1710.

Ectopic pregnancy is the embryo implantation outside the endometrial cavity. The most common location is the ampular region of Fallopian tube. The interstitial ectopic pregnancy represents the least probable site of implantation for a tubal ectopic pregnancy. The diagnosis and treatment, prior to rupture are important because its high morbidity and mortality when rupture occurs. Diagnosis is done by clinical suspicion, ultrasound and hCG blood levels. Treatment options are medical (metotrexate), radical surgery (cornuectomy or hysterectomy), and conservative management (cornuostomy) either by laparotomy or laparoscopy. The aim of this study is to report the case of a woman with an unruptured interstitial ectopic pregnancy who was managed by laparoscopic conservative management, describe the surgical technique and review of the literature.

Keywords : Ectopic pregnancy; interstitial; ampular; laparoscopy; cornuostomy; cornual.

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