Laparoscopic Approach to Cornual Ectopic: A Step-By-Step Demonstration

In pursuit of understanding interstitial pregnancies: a rare yet high-risk ectopic pregnancy

“…The presence of an ''interstitial line sign''-an echogenic line that runs from the endometrial cavity to the corneal region abutting the interstitial gestation sac-has higher sensitivity at 80% (2). When the results of TVUS are inconclusive, MRI also has been useful in making a definitive diagnosis of interstitial ectopic pregnancy (1), as was the case in these authors' report (4).…”

“…In the video by Whynott et al (4) in this issue, the authors eloquently describe the case of a 31-year-old patient who presented with an interstitial ectopic pregnancy. The authors highlight a laparoscopic approach to the management of interstitial ectopic pregnancy in this highly informative report.…”

“…This video details a laparoscopic cornual resection for surgical management of an interstitial ectopic pregnancy (4). Before advances in laparoscopic surgery, laparotomy with wedge resection of the uterine cornua was the standard surgical technique for interstitial ectopic pregnancies (5).…”

“…In cornual wedge resection, the interstitial pregnancy and the surrounding uterine cornua are excised together, with a circumferential incision made at the base of the interstitial ectopic pregnancy. The authors in their report describe a laparoscopic step-by-step approach to the latter (4).…”