Laparoscopic treatment of interstitial twin pregnancy
Paolo Casadio1, Guido Formelli, Emanuela Spagnolo
1Department of Obstetrics and Gynecology, University Hospital of Bologna, Policlinico S.Orsola-Malpighi, Via Massarenti 13, Bologna, Italy. p.casadio@unibo.it
Objective:
To describe a conservative management by laparoscopy of an unusual interstitial twin pregnancy.
Design:
Case report.
Setting:
University hospital.
Patient(S):
A 27-year-old woman, pregnant at 6th week of amenorrhea with interstitial twin pregnancy.
Intervention(S):
The woman was submitted to two- and three-dimensional transvaginal ultrasound and to diagnostic hysteroscopy. Subsequently, we performed a laparoscopic procedure: conical exeresis of the uterine cornu using a monopolar hook without involving the uterine cavity.
Main Outcome Measure(S):
Conservation of the uterus, fertility preservation.
Result(S):
Successful conservative treatment of interstitial twin pregnancy.
Conclusion(S):
Conservative laparoscopic surgery can be used successfully in hemodynamically stable patients with an interstitial pregnancy.
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