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Interstitial pregnancy


Authors: A. Nesterová 1;  B. Boudová 1,2 ;  J. Kestřánek 1,3
Authors place of work: Gynekologicko-porodnické oddělení, Oblastní nemocnice Trutnov, a. s. 1;  Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze 2;  Porodnická a gynekologická klinika LF UK a FN Hradec Králové 3
Published in the journal: Ceska Gynekol 2022; 87(6): 408-411
Category: Case Report
doi: https://doi.org/10.48095/cccg2022408

Summary

Objective: A case report of a patient with interstitial pregnancy and a history of hyperprolactinemia. Case report: A 30-year-old woman was hospitalized for a suspicion of ectopic pregnancy and referred for laparoscopy. During the laparoscopic surgery, interstitial pregnancy was dia­gnosed and solved with cornuostomy. Conclusion: Ectopic interstitial pregnancy represents a serious worldwide issue because unrecognized, it can endanger a woman’s life, despite advances in ultrasound examination, the dia­gnosis often remains inaccurate. Laparoscopic surgical approach with evacuation of pregnancy with subsequent uterus suture represents one of the possible approaches. This method is minimally invasive and safe.

Keywords:

Methotrexate – laparoscopy – interstitial pregnancy


Zdroje

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3. Gaillard F, Pathania D. Interstitial ectopic pregnancy. 2022 [online]. Available from: https: //radiopaedia.org/articles/1510.

4. Di Tizio L, Spina MR, Gustapane S et al. Interstitial pregnancy: from medical to surgical approach-report of three cases. Case Rep Obstet Gynecol 2018; 2018: 2815871. doi: 10.1155/2018/2815871.

5. Santos LT, Oliveira SC, Rocha LG et al. Interstitial pregnancy: case report of atypical ectopic pregnancy. Cureus 2020; 12 (5): e8081. doi: 10.7759/cureus.8081.

6. Racková J, Driák D, Neumannová H et al. Použití metotrexátu u ektopické gravidity a těhotenství neznámé lokalizace. Ceska Gynekol 2016; 81 (2): 140–146.

7. Maged S, Sonia A, Lisa D et al. Medical management of ectopic pregnancy. Intech Open 2022 [online]. Available from: https: //www.intechopen.com/online-first/80756.

8. Kim MJ, Cha JH, Bae HS et al. Therapeutic outcomes of methotrexate injection in unruptured interstitial pregnancy. Obstet Gynecol Sci 2017; 60 (6): 571–578. doi: 10.5468/ogs.2017.60.6. 571.

9. Mittal S, Shekhar B. Large interstitial ectopic pregnancy: management by laparoscopic cornuostomy following initial misdia­gnosis. Cureus 2021; 13 (11): e19280. doi: 10.7759/cureus. 19280.

10. Devi LT, Kuamr S. Surgically assisted medical management of interstitial ectopic pregnancy. Int J Reprod Contracept Obstet Gynecol 2021; 10 (3): 1210–1215. doi: 10.18203/2320-1770.ijrcog20210765.

Štítky
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Článok vyšiel v časopise

Czech Gynaecology

Číslo 6

2022 Číslo 6
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