Surgical Expression of an Un-Ruptured 12-Week Interstitial Ectopic Pregnancy

¹Department of Obstetrics, Gynecology and Reproductive Science. Mount Sinai Medical Center/Icahn School of Medicine, 1176 5th Ave, KP Building 9th Floor. New York, NY 10029. USA.
²Kaiser Permanente, Downey Medical Center. 9333 Imperial Hwy STE H30R69 Downey, CA 90242-2812. USA.
³Department of Obstetrics, Gynecology and Women's Health. Montefiore Medical Center/Albert Einstein Collage of Medicine, 1825 Eastchester Road. Bronx, NY 10461. USA.
Corresponding Author: Woojin Chong, Department of Obstetrics, Gynecology and Reproductive Science. Mount Sinai Medical Center/Icahn School of Medicine, 1176 5th Ave, KP Building 9th Floor. Mailbox #1170. New York, NY 10029. USA, Email: [email protected]
Received Date: 01 Aug 2017  
Accepted Date: 18 Sep 2017  
Published Date: 22 Sep 2017
Copyright © 2017 Chong W
Citation: Chong W, Tudorica N and Banks E. (2017). Surgical Expression of an Un-Ruptured 12-Week Interstitial Ectopic Pregnancy. Mathews J Gynecol Obstet. 2(1): 012.

ABSTRACT

Background: Interstitial pregnancy account for 2-4 % of tubal pregnancies. Interstitial pregnancy can lead to severe hemorrhage and death.
Case: A 35 year old at 12weeks, with history of multiple surgeries and fibroid uterus, presented with intermittent lower back pain without any other symptoms. MRI of pelvis revealed right interstitial ectopic pregnancy with presence of fetal heart activity. The open cornuotomy was performed, expressing an intact sac with live fetus.
Conclusion: When a reproductive aged woman with positive pregnancy test complains lower back pain without other symptoms, one should consider interstitial pregnancy. If ultrasound cannot visualize the presence of a gestational sac due to myomatous uterus, MRI of pelvis should be considered. The cornuostomy is a comparable surgical approach for a patient with prior histories of abdominal surgery.