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Published on: August 2, 2024
Angular-interstitial pregnancy treated with minimally invasive surgery after adjuvant methotrexate medical therapy
Andrea Ciavattini1, Isabella Cerè, Dimitrios Tsiroglou
1Institute of Obstetrics and Gynecology, Università Politecnica delle Marche, Ancona, Italy. andreac@univpm.it
Background:
Angular-interstitial pregnancy is a rare and potentially dangerous occurrence of ectopic pregnancy for which appropriate treatment has not been established.
Methods:
A 41-year-old woman with a history of ectopic pregnancy was treated with a combined regimen of conservative treatment comprising medical therapy with methotrexate and a minimally invasive laparoscopic-assisted surgical approach. Results The patient had an unremarkable postoperative course and was discharged after 32 hours. A transvaginal ultrasound scan control 2 weeks later revealed a normal uterine wall, with normal uterine adnexa.
Conclusion:
With our combined treatment approach we avoided hysterectomy, and we achieved a more adequate uterine repair, improving future fertility.
