An interstitial ectopic pregnancy managed with laparoscopic cornual resection

Introduction: Interstitial ectopic pregnancy is a rare type of tubal associated with increased case fatality rate due to profuse haemorrhage. It initially asymptomatic and ruptured later than other pregnancies. Case report: A 31 years old primigravida presented per vaginal bleeding at period amenorrhoea six weeks. Her examination findings were unremarkable transvaginal scan revealed left sided interstitial pregnancy. initial serum beta human Chorionic Gonadotropin (β-hCG) level was 7300 mIU/ml. As she haemodynamically stable, there no signs rupture β-hCG dropping, managed expectantly. developed abdominal pain drop in slow, expectant management abandoned surgical planned. Laparoscopy performed thinned out myometrium. laparoscopy guided transcervical suction evacuation has failed, laparoscopic corneal resection after vasopressin infiltration into She had uneventful recovery followed up until her became less 30 IU/L. Discussion: An must be differentiated from cornual angular pregnancies clearly defined ultrasound diagnostic criteria. Three dimensional (3D) magnetic resonance imaging (MRI) will further help diagnosis can expectantly, medically or surgically depending on the patient’s clinical condition, preference level.