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A Case of Ruptured Left Interstitial Ectopic Pregnancy
Snehal Deshmukh1, Sonali Shelke1, Deepti Shrivastava2
1Obstetrics and Gynaecology, Datta Meghe Medical College, Datta Meghe Institute of Medical Sciences (DU) Wardha, Nagpur, IND.
Cureus
|October 23, 2023
Summary
Interstitial ectopic pregnancy, a rare condition, presents diagnostic challenges. This case highlights the critical need for accurate diagnosis to prevent severe complications and preserve future fertility.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
- Diagnostic Imaging
Background:
- Interstitial ectopic pregnancy is a rare but life-threatening condition.
- It occurs in the proximal intramural portion of the fallopian tube.
- Rupture can involve the uterine wall, jeopardizing future pregnancies.
Observation:
- A 35-year-old primigravida conceived after ovulation induction.
- Initial diagnosis of ectopic pregnancy was missed, misdiagnosed as incomplete abortion.
- The patient underwent dilatation and evacuation.
Findings:
- Post-procedure, severe pain and hemodynamic instability prompted further investigation.
- Ultrasonography (USG) diagnosed a left interstitial ectopic pregnancy.
- Emergency laparotomy revealed left salpingo-oophorectomy and cornual resection with repair were necessary.
Implications:
- Accurate and timely diagnosis of interstitial ectopic pregnancy is crucial.
- Misdiagnosis can lead to catastrophic rupture and necessitate extensive surgical intervention.
- Management strategies aim to preserve fertility while addressing acute complications.
