Successful conservative medical management of an interstitial ectopic pregnancy at 10 weeks of gestation: A case report

• Main Authors: A. Galani, A. Zikopoulos, E. Moulias, M. Paschopoulos, K. Zikopoulos
• Format: Article
• Language: English
• Published: Elsevier 2021-01-01
• Series: Case Reports in Women's Health
• Subjects: Interstitial pregnancy; Conservative management; Ectopic pregnancy
• Online Access: http://www.sciencedirect.com/science/article/pii/S2214911220301144

Background: Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2–6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested. Case Presentation: We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. She was hemodynamically stable and requested fertility-sparing treatment. She was managed successfully with methotrexate and folinic acid with a hospital stay of 17 days. Conclusion: Interstitial pregnancy can be managed medically. However, these patients require close monitoring.