A rare case of extraluminal interstitial pregnancy treated with laparoscopic cornuotomy

Author:

Kurosawa Hiroki1ORCID,Watanabe Tadashi1ORCID,Sato Naoto12,Muraoka Yuma3,Matsuzawa Yukiko3,Watanabe Yoh3

Affiliation:

1. Division of Obstetrics and Gynecology Tohoku Medical and Pharmaceutical University Wakabayashi Hospital Sendai Miyagi Japan

2. Department of Obstetrics and Gynecology Sendai Medical Center Sendai Miyagi Japan

3. Division of Obstetrics and Gynecology Tohoku Medical and Pharmaceutical University Hospital Sendai Miyagi Japan

Abstract

AbstractWe report an extremely rare case of an extraluminal interstitial pregnancy. A 36‐year‐old nulliparous woman visited our hospital during the fifth week of gestation. Although no intrauterine gestational sac (GS) was identified, transabdominal ultrasonography revealed a GS‐like cyst was detected in the right uterine horn. She underwent laparoscopic surgery for a suspected interstitial ectopic pregnancy. After laparoscopic cornuotomy, dye leakage was observed from the fimbria rather than the incision site. Finally, the patient was diagnosed with a right extraluminal interstitial pregnancy. Hysterosalpingography performed at three postoperative months revealed bilateral tubal passage. She conceived 7 months after surgery, with safe delivery by elective cesarean section at 38 weeks.

Publisher

Wiley

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