Ruptured interstitial ectopic pregnancy: A case report and review of the literature

Boujida, Sarah; Mhamdi, Oumaima; Mahfoud, H.; Baidada, Aziz; Kharbach, Aicha

doi:10.1016/j.amsu.2022.104076

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Abdominal pain caused by tissue distension, minor vaginal bleeding resulting from the normal shedding of basal decidua from the intrauterine cavity after the cessation of trophoblastic activity, and secondary amenorrhea constitute the classic triad of symptoms that characterize patients with unruptured interstitial ectopic pregnancy [9]. In cases of rupture of the interstitial part of the fallopian tube and the occurrence of intra-abdominal hemorrhage, the predominant clinical condition is hemorrhagic shock [12,13]. In our patient, who had nine weeks of amenorrhea and significant tissue distension with the presence of ischemia and localized necrosis in the right uterine horn (Figure 3), unexpected abdominal pain was of mild intensity.…”

Section: Discussionmentioning

confidence: 99%

Interstitial Ectopic Pregnancy Associated With Painless and Severe Vaginal Bleeding: A Rare, Atypical Clinical Presentation

Thanasa,

Grapsidi

et al. 2024

Cureus

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Interstitial ectopic pregnancy is rare (2%-4% of ectopic pregnancies). The atypical clinical presentation of interstitial ectopic pregnancy associated with massive vaginal bleeding is extremely rare and makes early preoperative diagnosis even more difficult. The presentation of our case concerns the early diagnosis and surgical treatment of a patient with an interstitial ectopic pregnancy without rupture, which presented atypically with painless, severe vaginal bleeding. A 27-year-old fourth-term pregnant woman presented with massive painless vaginal bleeding. Secondary amenorrhea was calculated at eight weeks and four days. Transvaginal ultrasound and transvaginal Doppler ultrasound combined with the quantification of beta-chorionic gonadotropin hormone raised the suspicion of interstitial ectopic pregnancy. Intraoperatively, the presence of a large swelling of the right horn of the uterus was established, and a wedge resection was performed with the removal of the corresponding fallopian tube. Three weeks after surgery, the serum beta-chorionic gonadotropin hormone value was zero. In this paper, the rarity of interstitial ectopic pregnancy, the difficulties related to early and correct preoperative diagnosis, and the selection of the appropriate available therapeutic procedures are emphasized, the correct application of which can significantly contribute to reducing the morbidity and mortality of these patients.

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Section: Discussionmentioning

confidence: 99%

Interstitial Ectopic Pregnancy Associated With Painless and Severe Vaginal Bleeding: A Rare, Atypical Clinical Presentation

Thanasa,

Grapsidi

et al. 2024

Cureus

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“…The decision of choice of management of intestinal pregnancy depends on the hospital’s facilities as well as the patient’s hemodynamic stability, gestational age, and desire for fertility. The method of choice for the medical management of interstitial pregnancy is an intramuscular injection of methotrexate [ 5 ]. Surgical management options include salpingectomy, salpingostomy, cornuostomy, and cornual resection, and vary on a case-to-case basis [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…The main complication of medically treated interstitial pregnancies is recurrence. Uterine rupture in subsequent pregnancies is most common with surgical approaches, especially by cornual resection, probably due to the fragility of the uterine wall [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Successful Management of a Ruptured Interstitial Pregnancy: A Case Report

Alhubaishi¹,

Nizam²,

Malik³

2023

Cureus

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Interstitial pregnancy is a rare entity that usually leads to the rupture of the uterus. The difficulty and delay in diagnosing this condition have been reported to cause high mortality rates. Here, we present the case of a 36-year-old woman who presented to the emergency department with severe epigastric pain and hemodynamic instability. Her current gestational age (GA) could not be accurately measured as she was unbooked and had irregular periods. However, by abdominal examination, the GA was estimated to be 38 weeks, whereas by ultrasound it was approximately 28 weeks. It was also noted that the uterus was empty, and the fetus was found in the abdominal cavity. Hence, a working diagnosis of uterine rupture was made and the patient was taken for emergency laparotomy. The patient delivered an alive 1.2 kg baby. Intraoperatively, the placenta was implanted in the interstitial part of the right fallopian tube. The placenta was then excised and right salpingectomy was performed, following which the abdomen was closed in layers. Postoperatively, the patient made an uneventful recovery and was discharged home in stable condition; however, the baby passed away due to complications related to extreme prematurity.

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Interstitial ectopic pregnancy rupture at 17 weeks of gestation: A case report and literature review

Bahall

Cozier

Latchman

et al. 2022

Case Reports in Women's Health

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Ruptured interstitial ectopic pregnancy: A case report and review of the literature

Cited by 3 publications

References 8 publications

Interstitial Ectopic Pregnancy Associated With Painless and Severe Vaginal Bleeding: A Rare, Atypical Clinical Presentation

Interstitial Ectopic Pregnancy Associated With Painless and Severe Vaginal Bleeding: A Rare, Atypical Clinical Presentation

Successful Management of a Ruptured Interstitial Pregnancy: A Case Report

Interstitial ectopic pregnancy rupture at 17 weeks of gestation: A case report and literature review

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