Management options for interstitial ectopic pregnancies: A case series

نویسندگان

  • Ilker Kahramanoglu
  • Zahid Mammadov
  • Hasan Turan
  • Aslihan Urer
  • Abdullah Tuten
چکیده

OBJECTIVE Ectopic pregnancy in the interstitial part of the Fallopian tubes can be life-threatining considering the thin myometrial tissue surrounding the gestational sac and highly vascularization which may result in catastrophic haemorrhage when interstitium is ruptured. The diagnosis and management is challenging. Conservative, medical, and surgical treatment options should be considered based on individual patient factors. METHODS Four women were diagnosed with interstitial pregnancy in last five years in our tertiary center. Four different treatment modalities, including single dose methotrexate, laparotomy, hysteroscopy followed by vacuum aspiration, and vacuum aspiration under laparoscopy were performed according to patients' characteristics. RESULTS . Successful outcome was achieved in all patients. CONCLUSION Interstitial pregnancy can be successfully treated with a single dose systemic methotrexate when all criteria are met. The classical cornual wedge resection remains lifesaving operation for cases of ruptured interstitial pregnancy. Less invasive procedures such as laparoscopic assisted transcervical vacuum aspiration and diagnostic hysteroscopy followed by vacuum aspiration can be performed in selected cases.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Considerations for management of interstitial ectopic pregnancies: two case reports

BACKGROUND Conventional treatment of interstitial pregnancies includes systemic methotrexate, direct methotrexate injection, wedge resection, or hysterectomy. We present two cases of interstitial pregnancies that were successfully managed by different minimally invasive surgical techniques. We also report the novel use of hysteroscopic urologic stone retrieval forceps in the transvaginal remova...

متن کامل

Recurrent Interstitial Pregnancy: a Review of the Literature.

Interstitial pregnancies account for 2-4 % of all ectopic pregnancies. Despite its rarity, various treatment options exist. However, no gold standard has yet been defined and data regarding recurrence of interstitial pregnancies in subsequent pregnancies after different treatments are sparse. This makes it very difficult to provide adequate patient counselling for treatment options with regards...

متن کامل

The Endomyometrial Thick...on by Pelvic Sonography

he ease and accessibility of sonography has made it the imaging modality of choice for emergency physicians, obstetrician-gynecologists, and other medical specialists evaluating patients with early pregnancy-related symptoms. Although 95% to 98% of ectopic pregnancies are tubal in location, 2% to 4% are interstitial ectopic pregnancies, known as interstitial pregnancies. By definition, an inter...

متن کامل

Laparoscopic Management of a 13 Week Interstitial Ectopic Pregnancy

Introduction: Interstitial pregnancies account for approximately 2% to 4% of all ectopic pregnancies; however, without timely diagnosis and treatment, they are associated with a high rate of morbidity and mortality. The traditional surgical approach has been laparotomy with cornual wedge resection or even hysterectomy. With advances in laparoscopic surgery, new surgical techniques have been rep...

متن کامل

Heterotopic interstitial pregnancy: A case report

Introduction Before the advent of assisted reproductive technologies, the incidence of heterotopic pregnancy was estimated to be in 1 out of 30,000 pregnancies in the United States. With interstitial pregnancy comprising only 2.4% of ectopic pregnancies, spontaneous heterotopic interstitial pregnancies are exceedingly rare. Case A 27-year-old pregnant woman (gravida 3 para 1011) with a histor...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 33  شماره 

صفحات  -

تاریخ انتشار 2017