|Year : 2019 | Volume
| Issue : 4 | Page : 199
Chih-Feng Yen1, Yu-Shan Lin2, Shu-Ling Lin3
1 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkuo Branch; School of Medicine, Chang Gung University, Taoyuan, Taiwan
2 Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkuo Branch, Taoyuan, Taiwan
3 School of Nursing, Taipei Medical University, Taipei, Taiwan
|Date of Submission||12-Sep-2019|
|Date of Decision||07-Oct-2019|
|Date of Acceptance||07-Oct-2019|
|Date of Web Publication||24-Oct-2019|
Dr. Chih-Feng Yen
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch; No. 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, 33305
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Yen CF, Lin YS, Lin SL. Interstitial pregnancy. Gynecol Minim Invasive Ther 2019;8:199
A 30-year-old woman, gravida 4, para 1, visited the outpatient department with prolonged vaginal bleeding and mild right lower abdomen pain at 9 weeks of gestation. Human chorionic gonadotropin level was 15,037 mIU/mL, and transvaginal ultrasonography showed an eccentrically located gestational sac with abundant blood supply [Figure 1]a. Laparoscopy revealed a bulging mass measuring 4 cm × 3 cm with a thin surrounding wall at the root of tubal insertion into the uterus [Figure 1]b. Right cornuotomy was performed to remove the embedded gestational tissues [Figure 1]c. The Fallopian tube More Details was preserved by repairing with 1-0 monocryl [Figure 1]d. The patient recovered and conceived uneventfully 5 months later with healthy intrauterine pregnancy.
|Figure 1: (a) Transvaginal ultrasonography revealed a gestation sac located outside the cavity with abundant blood supply, (b) laparoscopy found the ectopic site as a bulge at the uterotubal junction; the surrounding wall was thin with dilated vessels, (c) after cornuotomy, the gestational sac was removed with an endo-bag, (d) the tube was successfully preserved after suture repair|
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Interstitial pregnancy is an ectopic pregnancy implanted in the tubal interstitial portion where it traverses through the uterine muscular wall for approximately 1–2 cm to enter the cavity.,, Surgical management could be carried out with either cornual resection or cornuotomy. Our case demonstrated typical pictures and a conservative process of the laparoscopic surgical treatment.
This study was approved by the institutional review board of Chang Gung Medical Foundation (IRB No. 201901161B0 obtained on July 26th, 2019). IRB agrees to waive the informed consent.
Financial support and sponsorship
Conflicts of interest.
There are no conflicts of interest.
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