Laparoscopic surgery of interstitial (cornual) pregnancy, a case report

Abstract

ÖzetWe report a successful laparoscopic management of an interstitial pregnancy of a 24-year-old single woman, treated by cornuostomy.The patient was first managed with methotrexate treatment. After the 2. methotrexate administration, the patient suffered from low abdominal pain, and intraabdominal bleeding signs were reported by transvaginal ultrasonograpy. The hemoglobin level was decreased from 12.8 gr/dl to 11.8 gr/dl and the beta hCG level was increased from 8,314 mIU/l to 11,541 mIU/l. The laparoscopic approach to interstitial pregnancy was presented and other management strategies such as medical treatment and laparotomy have been reviewed. 24 yaşında bekar bir bayan hastada görülen intertisyel (kornual) ektopik gebelik vakasının laparoskopik kornuostomi uygulanarak, başa-rılı bir şekilde tedavisi sunulmuştur. Tanı konulmasını takiben; önce metotreksat tedavisine alınan hastada, 2. metotreksat uygulaması sonrası gelişen kasık ağrısı şikayeti nedeniyle yapılan transvajinal ultrasonografide, intraabdominal kanama bulguları görülmüştür. Hemoglobin seviyesinin 12.8 gr/dl'den 11.8 gr/dl'ye düşmesi ve beta hCG düzeyinin 8,314 mIU/ml'den 11,541 mIU/ml'ye yükselmesi üzerine, hasta laparoskopiye alınmıştır. Bu makalede intertisyel gebeliklerde laparoskopik uygulamalar ve diğer tedavi seçenekleri (medikal tedavi ve laparotomi) irdelenmiştir.

Laparoscopic Management of 42 Cases of Tubal Stump Pregnancy and Postoperative Reproductive Outcomes

“…Treatment for tubal stump pregnancy is surgery or conservative management using methotrexate (MTX). The operative method for tubal stump pregnancy is almost the same as to that for interstitial pregnancy [8,9]. A case of successful laparoscopic surgery for tubal stump pregnancy after tubectomy has been reported [10].…”