Ruptured interstitial ectopic pregnancy: A case report and review of the literature

Sarah Boujida; Oumaima M'hamdi; Hounaida Mahfoud; Aziz Baydada; Aicha Kharbach

doi:10.1016/j.amsu.2022.104076

Ruptured interstitial ectopic pregnancy: A case report and review of the literature

Ann Med Surg (Lond). 2022 Jun 24:79:104076. doi: 10.1016/j.amsu.2022.104076. eCollection 2022 Jul.

Authors

Sarah Boujida¹, Oumaima M'hamdi¹, Hounaida Mahfoud¹, Aziz Baydada¹, Aicha Kharbach¹

Affiliation

¹ Department of Gynecology and Obstetrics, Maternity of Souissi, Faculty of Medicine, Mohamed V Souissi University, Rabat, Morocco.

Abstract

Introduction: Interstitial pregnancy is a rare type of ectopic pregnancy. The aim of our publication is to describe the diagnosis and treatment of this entity.

Case report: We report the case of a ruptured interstitial pregnancy diagnosed in a 32 years old patient admitted for acute abdominal pain.

Discussion: The main symptom was severe pelvic pain in a context of amenorrhea. The ultrasound found the ectopic pregnancy in the form of an eccentric gestational sac with an empty uterine cavity as well as intraperitoneal effusion. A ruptured ectopic pregnancy was suspected and the patient was admitted immediately for emergency laparotomy with cornusotomy and salpingectomy.

Conclusion: Interstitial ectopic pregnancy is associated with high morbidity. Its diagnosis and management should be early and adequate in order to avoid complications and preserve fertility.

Keywords: Case report; Cornuostomy; Ectopic pregnancy; Haemoperitoneum; Laparotomy.

Publication types

Case Reports