Successful management of unruptured interstitial pregnancy in 17 consecutive cases by using laparoscopic surgery

Author(s):  
Xulei Zuo ◽  
Aiqun Shen ◽  
Meixin Chen
2005 ◽  
Vol 3 (1) ◽  
pp. 1-5 ◽  
Author(s):  
C. Jaeger ◽  
A. Reich ◽  
R. Kreienberg ◽  
F. Flock

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chun Tong ◽  
Lijun Gong ◽  
Yuan Wei ◽  
Zhaohui Liu ◽  
Yiting Wang ◽  
...  

Abstract Background Uterine rupture is a rare, life-threatening event in obstetrics that may be fatal for the mother and fetus. Therefore, obstetricians need to pay attention to and should consider the antenatal diagnosis of uterine rupture in women having its risk factors. Successful conservative management for asymptomatic uterine rupture due to previous laparoscopic surgery for interstitial pregnancy has already been reported but remains understudied. Case presentation A 39-year-old woman was diagnosed asymptomatic uterine rupture at 22 weeks gestation by a routine second-trimester ultrasound scan. She had a history of laparoscopic salpingectomy with cornual wedge resection for interstitial pregnancy 10 months before this pregnancy. Refusing doctor’s twice advice of terminating the pregnancy, the patient insisted carrying on the pregnancy, and followed up by ultrasound and magnetic resonance imaging. Fetal growth was appropriate, fetal movements were good and the patient had no symptoms, without uterine contraction or amniotic fluid loss throughout follow-up period. Caesarean section was carried out at 34 + 1 weeks with a good maternal and neonatal outcome. Conclusions A previous history of laparoscopic salpingectomy with cornual wedge resection could be a risk factor for uterine rupture in pregnant women. Sonographers should be alert to this potential risk in pregnant women with a history of laparoscopic salpingectomy with cornual wedge resection even in asymptomatic patients.


2015 ◽  
Vol 31 (1) ◽  
pp. 193-198
Author(s):  
Daisuke Hamaguchi ◽  
Akira Fujishita ◽  
Michiharu Kohno ◽  
Yuriko Kitajima ◽  
Hiroko Hiraki ◽  
...  

2021 ◽  
Vol 14 (3) ◽  
pp. e239918
Author(s):  
Vineetha Shetty ◽  
Roopa Padavagodu Shivananda ◽  
Akhila Vasudeva ◽  
Jyothi Shetty

Here, we present three cases of women with interstitial pregnancy who were managed with local instillation of potassium chloride. These women were in their 20s–30s and presented in stable condition. Of them, two had a history of previous ectopic pregnancy. Interstitial pregnancy was diagnosed by transvaginal sonography which showed an empty uterine cavity with a gestational sac 1 cm away from the lateral edge of the uterine cavity, with <5 mm myometrium surrounding it in all planes. Two of the three cases failed to respond to methotrexate injection. Due to the presence of high-end ultrasound machine and technical expertise, local instillation of potassium chloride was offered as an alternative to surgical treatment, which is definitive, and all three patients had a successful outcome. One patient returned with pain in the abdomen, which required inpatient monitoring and was later diagnosed with urinary tract infection and was given appropriate antibiotics.


2013 ◽  
Vol 29 (2) ◽  
pp. 105-109
Author(s):  
Michael Pitiakoudis ◽  
Konstantinos Romanidis ◽  
Eleni-Aikaterini Nagorni ◽  
Georgios Kouklakis ◽  
Christos Tsalikidis ◽  
...  

2005 ◽  
Vol 173 (4S) ◽  
pp. 317-317 ◽  
Author(s):  
Jeffrey S. Montgomery ◽  
Willam K. Johnston ◽  
J. Stuart Wolf

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