Survival of cornual (interstitial) pregnancy

Idama, Tennyson O.; Tuck, Christine S; Ivory, C; Ellerington, M.C; Travis, Susan

doi:10.1016/s0301-2115(98)00269-3

Cited by 12 publications

(8 citation statements)

References 5 publications

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“…Patients with RSHL present with life-threatening intra-abdominal hemorrhage, leading to hypotension. This clinical picture mimics a ruptured interstitial pregnancy that also results in hypotension, and may present after the first trimester (even at 30 weeks' gestation), [2] which is also the same gestational period when the clinical signs of pre-eclampsia develop. We report the difficulty in preoperative diagnosis of RSHL, presenting as a ruptured interstitial pregnancy and the subsequent interventions and outcomes.…”

Section: Introductionmentioning

confidence: 97%

Ruptured subcapsular hematoma of the liver due to pre-eclampsia presenting as interstitial pregnancy and the role of intra-abdominal packing

2015

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Ruptured subcapsular hematoma of the liver (RSHL) can mimic ruptured interstitial pregnancy because each of these conditions occasionally presents at the same gestational period and both do manifest hemodynamic instability. The similarities between the two conditions pose a diagnostic challenge, especially in an un-booked patient. We report a case of an un-booked primigravida, at 21 weeks of gestation, who arrived at a regional hospital with evidence of intra-abdominal bleeding and hypovolemic shock. She was diagnosed as potentially having a ruptured interstitial pregnancy. During the ensuing emergency laparotomy, RSHL was discovered, the area around the ruptured liver capsule was packed with large abdominal swabs, and the patient recovered. This case report illustrates the need to consider RSHL in patients presenting with features of ruptured interstitial pregnancy, as this will assist in the planning of intraoperative care. We also describe abdominal packing and highlight the need for this essential surgical intervention to be taught to doctors practising in low-resource settings.

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Section: Introductionmentioning

confidence: 97%

Ruptured subcapsular hematoma of the liver due to pre-eclampsia presenting as interstitial pregnancy and the role of intra-abdominal packing

2015

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“…During the third trimester, the most characteristic form of presentation is uterine rupture with or without hemodynamic complications. In fact, of the nine term or near‐term IP reported in the literature, 6 were manifested with uterine rupture 4–6,11–16 . Interestingly, this patient was asymptomatic until PPROM presented at 20 weeks of gestation.…”

Section: Discussionmentioning

confidence: 82%

Antenatal diagnosis of a third trimester interstitial pregnancy: A case report

Scarella

Marquez

Schilling

et al. 2012

J of Obstet and Gynaecol

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Interstitial pregnancy cases that advance to term, or near term, are occasionally reported. We present an unusual case of a third trimester interstitial pregnancy with antenatal diagnosis and expectant management. She presented at 20 weeks of pregnancy with an early preterm premature rupture of membranes, and expectant management was initiated. The ultrasound suggested an interstitial location and a posterior magnetic resonance image, obtained at 26 weeks, confirmed the diagnosis. Because of the risk of uterine rupture, an elective cesarean section was performed at 28 weeks. During the laparotomy, the uterine fundus appeared intact with an asymmetric bulge that provided evidence of placenta increta. The baby was delivered, and an obstetric hysterectomy was performed. The newborn was admitted to the neonatal intensive care unit with a severe respiratory distress syndrome. No response to mechanical ventilation was observed, and neonatal death was reported. A uterine pathological examination confirmed the diagnosis.

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“…[5][6][7][8][9][10][11][12][13][14] We were able to obtain detailed information for these patients, as shown in ►Table 1. All patients underwent cesarean section for obstetrical indications, including uterine rupture in 4 of the 10 patients (40%), 5,7,8,10 malpresentation in 3, 6,11,12 and previous cesarean section in 2 patients. 9,14 A prenatal diagnosis was established in one patient, 13 and an elective cesarean section was performed.…”

Section: Discussionmentioning

confidence: 99%

Interstitial Pregnancy Resulting in a Viable Infant Coexistent with Massive Perivillous Fibrin Deposition: A Case Report and Literature Review

et al. 2014

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Objective The objective of this report is to describe a rare case of interstitial pregnancy ultimately resulting in a viable infant coexistent with massive perivillous fibrin deposition (MPFD). Study Design This study is a case report and literature review. Results A 35-year-old female patient underwent cesarean section at 32 weeks of gestation due to fetal growth restriction (FGR) and breech presentation. During the operation, a diagnosis of interstitial pregnancy was established. There was no evidence of placental separation. We decided to complete surgery without removal of the placenta and waited until the placenta delivered spontaneously. The conservative management was successful, and the patient was discharged on postoperative day 13. The pathologic examination showed MPFD. Conclusion If interstitial pregnancies are not diagnosed at an early gestational age, it can result in a viable fetus, but such pregnancies may be associated with FGR or placenta accreta.

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Survival of cornual (interstitial) pregnancy

Cited by 12 publications

References 5 publications

Ruptured subcapsular hematoma of the liver due to pre-eclampsia presenting as interstitial pregnancy and the role of intra-abdominal packing

Ruptured subcapsular hematoma of the liver due to pre-eclampsia presenting as interstitial pregnancy and the role of intra-abdominal packing

Antenatal diagnosis of a third trimester interstitial pregnancy: A case report

Interstitial Pregnancy Resulting in a Viable Infant Coexistent with Massive Perivillous Fibrin Deposition: A Case Report and Literature Review

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