Interstitial ectopic pregnancy rupture at 17 weeks of gestation: A case report and literature review

Bahall, Vishal; Cozier, Wendel; Latchman, Petal; Elias, Sarah-Ann; Sankar, Steven

doi:10.1016/j.crwh.2022.e00464

Cited by 8 publications

(8 citation statements)

References 13 publications

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“…In contrast to the past, because of advances in laparoscopic techniques, cornual resection, cornuostomy or hysteroscopic removal of ectopic interstitial tissue is performed laparoscopically [29] . Hysterectomy is generally considered acceptable in cases of life-threatening hemorrhage [22] .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Distinguishing between cornual, angular and interstitial ectopic pregnancy: A case report and a brief literature review

Dhanju,

Goubran,

Zimolag

et al. 2023

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

“…A delay in the diagnosis of interstitial pregnancy may lead to cornual uterine resection. Some studies have reported a mortality rate of 2%-3% with interstitial pregnancy [22] .…”

Section: Introductionmentioning

confidence: 99%

Distinguishing between cornual, angular and interstitial ectopic pregnancy: A case report and a brief literature review

Dhanju,

Goubran,

Zimolag

et al. 2023

Radiology Case Reports

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“…This portion of the fallopian tube is 2 cm long, 0.7 mm broad, and tortuous in shape. It is bordered by a highly vascular myometrium and has the ability to grow, which could cause a rupture and cause severe hemorrhage [ 3 ]. The mortality rate for ruptured interstitial ectopic pregnancies is seven times greater than that of other ectopic pregnancies, making them an uncommon but potentially lethal event.…”

Section: Discussionmentioning

confidence: 99%

Successful Management of a Ruptured Interstitial Pregnancy: A Case Report

Alhubaishi¹,

Nizam²,

Malik³

2023

Cureus

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Interstitial pregnancy is a rare entity that usually leads to the rupture of the uterus. The difficulty and delay in diagnosing this condition have been reported to cause high mortality rates. Here, we present the case of a 36-year-old woman who presented to the emergency department with severe epigastric pain and hemodynamic instability. Her current gestational age (GA) could not be accurately measured as she was unbooked and had irregular periods. However, by abdominal examination, the GA was estimated to be 38 weeks, whereas by ultrasound it was approximately 28 weeks. It was also noted that the uterus was empty, and the fetus was found in the abdominal cavity. Hence, a working diagnosis of uterine rupture was made and the patient was taken for emergency laparotomy. The patient delivered an alive 1.2 kg baby. Intraoperatively, the placenta was implanted in the interstitial part of the right fallopian tube. The placenta was then excised and right salpingectomy was performed, following which the abdomen was closed in layers. Postoperatively, the patient made an uneventful recovery and was discharged home in stable condition; however, the baby passed away due to complications related to extreme prematurity.

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“…The mortality rate associated with ruptured interstitial ectopic pregnancy is approximately 2–5%; often due to difficulty and delay in diagnosis. The site of implantation is particularly vascular with anastomosis between the uterine and ovarian vessels, while also susceptible to distension given characteristic myometrium, leading to later gestation ruptures that can be devastating [49]. Interstitial pregnancies should typically be treated upon diagnosis, and any uncertainty in diagnosis should be followed closely with further imaging and consultation of specialists familiar with nontubal ectopic pregnancies.…”

Section: Managementmentioning

confidence: 99%

An update and review of nontubal ectopic pregnancy management

Kostroun

Robinson

2023

Current Opinion in Obstetrics &Amp; Gynecology

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Purpose of review Nontubal ectopic pregnancies appear to be increasing in prevalence. Increasingly, minimally invasive methods for management are being utilized. A current literature review and recommendations for management of nontubal ectopic pregnancy is presented in this review. Recent findings Nontubal ectopic pregnancies are less common than tubal ectopic pregnancies but present a unique and significant threat to patient's health and are optimally managed by specialists familiar with the condition. Early diagnosis, prompt treatment and close follow-up to resolution are critical. Recent publications focus on fertility-sparing and conservative management through the use of medications both systemic and local; as well as minimally invasive surgical techniques. The Society of Maternal Fetal Medicine recommends against expectant management of cesarean scar pregnancies; however, optimal treatment is unknown and this holds true for management of other nontubal ectopic pregnancies. Summary Minimally invasive and fertility sparing management should be the mainstay in treatment of stable patients with nontubal ectopic pregnancy.

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Interstitial ectopic pregnancy rupture at 17 weeks of gestation: A case report and literature review

Cited by 8 publications

References 13 publications

Distinguishing between cornual, angular and interstitial ectopic pregnancy: A case report and a brief literature review

Distinguishing between cornual, angular and interstitial ectopic pregnancy: A case report and a brief literature review

Successful Management of a Ruptured Interstitial Pregnancy: A Case Report

An update and review of nontubal ectopic pregnancy management

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