Laparoscopic Resection of a Big Interstitial Pregnancy With Intra-operative Rupture and Expulsion of the Foetus

Abstract

We report a case of interstitial pregnancy diagnosed by ultrasonography at 11 weeks’ gestation and managed by laparoscopic resection and cornual repair. During resection, the gestational sac ruptured expelling the whole foetus. The operative blood loss was 100 mL. The postoperative course was uneventful and the ultrasonography performed 7 weeks afterwards was normal. The clinical features, diagnosis, differential diagnosis and management options of interstitial pregnancy are discussed. Surgical treatment was indicated in our case because the ectopic gestation was big and viable with a high initial human chorionic gonadotropin level. Our case illustrates laparoscopic resection for interstitial pregnancy can be achieved with little morbidity. With the advancement in minimally invasive surgery, laparoscopic resection should be the preferred surgical treatment instead of laparotomy or hysterectomy.