Considerations for management of interstitial ectopic pregnancies: two case reports

Area of Science:

• Reproductive Medicine
• Minimally Invasive Surgery
• Gynecologic Oncology

Background:

• Interstitial pregnancies are rare and conventionally treated with systemic methotrexate, direct injection, or surgical resection.
• Minimally invasive surgical techniques are increasingly explored for managing interstitial pregnancies.

Observation:

• Two cases of interstitial pregnancy are presented, highlighting different minimally invasive management strategies.
• Case 1 involved laparoscopic confirmation and ultrasound-guided suction dilation and curettage.
• Case 2 utilized hysteroscopic removal of persistent products of conception after methotrexate, employing novel urologic stone retrieval forceps.

Findings:

• Successful minimally invasive treatment was achieved in both presented cases of interstitial pregnancy.
• The novel application of hysteroscopic urologic stone retrieval forceps facilitated transvaginal removal of persistent products of conception.

Implications:

• Minimally invasive approaches can be effective for select interstitial pregnancies.
• Interdisciplinary collaboration is crucial for advancing minimally invasive treatment options in gynecology.