Is Interstitial Pregnancy Clinically Different From Cornual Pregnancy? A Case Report
Correspondence Address :
Dr. Mehmet Akif Sargin,
Balikesir Cad.Soganlik Yeni Mahalle Uprise Elite Sitesi C 2 Blok D:1 Kartal, Istanbul Turkey.
E-mail : drmehmetakifsargin@yahoo.com
Interstitial pregnancy is a rare form of ectopic pregnancy with significant risk for morbidity. A 32-year-old woman, was brought to the emergency department with severe abdominal pain and syncope. There was no history of menolipsis and usage of any contraceptive methods. Serum ß hCG arrival was 11224 IU/L. Trans-vaginal ultrasound scan showed an empty uterus with a displaced 16 × 26 mm gestation sac on the left corn of the uterine cavity which surrounded by a thin myometrium. Free abdominal fluid and coagulum were also detected in the cul-de-sac. She was haemodynamically unstable. A ruptured ectopic pregnancy was diagnosed in the left uterine cornu during emergency laparotomy. Cornual resection was performed. Interstitial and cornual pregnancies should be considered as two different clinical situations. It is important to enhance the clinician’s suspicion about interstitial/cornual pregnancy. Thus, more detailed examination by transvaginal ultrasonography may contribute for accurate localization and diagnosis.
Ectopic pregnancy, Rupture, Transvaginal ultrasonography
DOI: 10.7860/JCDR/2015/12198.5836
Date of Submission: Nov 20, 2014
Date of Peer Review: Mar 09, 2015
Date of Acceptance: Mar 20, 2015
Date of Publishing: Apr 01, 2015
Financial OR OTHER COMPETING INTERESTS: None.
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