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Published on: January 17, 2019
Ruptured interstitial ectopic pregnancy: A case report and review of the literature
Sarah Boujida1, Oumaima M'hamdi1, Hounaida Mahfoud1
1Department of Gynecology and Obstetrics, Maternity of Souissi, Faculty of Medicine, Mohamed V Souissi University, Rabat, Morocco.
Introduction:
Interstitial pregnancy is a rare type of ectopic pregnancy. The aim of our publication is to describe the diagnosis and treatment of this entity.
Case Report:
We report the case of a ruptured interstitial pregnancy diagnosed in a 32 years old patient admitted for acute abdominal pain.
Discussion:
The main symptom was severe pelvic pain in a context of amenorrhea. The ultrasound found the ectopic pregnancy in the form of an eccentric gestational sac with an empty uterine cavity as well as intraperitoneal effusion. A ruptured ectopic pregnancy was suspected and the patient was admitted immediately for emergency laparotomy with cornusotomy and salpingectomy.
Conclusion:
Interstitial ectopic pregnancy is associated with high morbidity. Its diagnosis and management should be early and adequate in order to avoid complications and preserve fertility.
