Successful procedure in conservative management of interstitial (cornual) ectopic pregnancy

• Main Authors: Cepi Teguh Pramayadi, Alvin Bramantyo, Eka Rusdianto Gunardi
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Gynecology and Minimally Invasive Therapy
• Subjects: Ectopic pregnancy; interstitial pregnancy; laparoscopy; vasopressin
• Online Access: http://www.e-gmit.com/article.asp?issn=2213-3070;year=2018;volume=7;issue=4;spage=172;epage=174;aulast=Pramayadi

A 35-year-old woman presented with spotting and lower abdominal pain. Follow-up sonography was suggestive of interstitial ectopic pregnancy. Laparoscopic cornuostomy was carried out. Before incision, diluted vasopressin was injected around the site of interstitial pregnancy. Removal of the conceptual tissues was conducted smoothly through a 1.5 cm incision. The overall blood loss was 50 mL. The operative time was 50 min, and there were no intraoperative complications. We successfully performed laparoscopic cornuostomy, which was followed by an unremarkable postoperative course. Laparoscopic surgery is a safe and effective minimally invasive surgical intervention for interstitial ectopic pregnancy if performed by the experienced surgeon. Local vasopressin injection is a good alternative for bleeding control in conservative laparoscopic surgery.