Successful conservative medical management of an interstitial ectopic pregnancy at 10 weeks of gestation: A case report

A Galani; A Zikopoulos; E Moulias; M Paschopoulos; K Zikopoulos

doi:10.1016/j.crwh.2020.e00284

Successful conservative medical management of an interstitial ectopic pregnancy at 10 weeks of gestation: A case report

Case Rep Womens Health. 2020 Dec 26:29:e00284. doi: 10.1016/j.crwh.2020.e00284. eCollection 2021 Jan.

Authors

A Galani¹, A Zikopoulos², E Moulias¹, M Paschopoulos¹, K Zikopoulos¹

Affiliations

¹ University Hospital of Ioannina, Department of Obstetrics and Gynecology, Ioannina, Greece.
² Obstetrics and Gynecology Royal Cornwall Hospital, Cornwall, UK.

Abstract

Background: Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2-6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested.

Case presentation: We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. She was hemodynamically stable and requested fertility-sparing treatment. She was managed successfully with methotrexate and folinic acid with a hospital stay of 17 days.

Conclusion: Interstitial pregnancy can be managed medically. However, these patients require close monitoring.

Keywords: Conservative management; Ectopic pregnancy; Interstitial pregnancy.

Publication types

Case Reports