Interstitial ectopic pregnancy diagnosis by three-dimensional ultrasound and its laparoscopic management: A case report

Background: Interstitial Ectopic Pregnancy (IEP) is an uncommon type of ectopicpregnancy with the risk of rupturing and bleeding. The incidence of IEP is about 2-4%of all EPs. The diagnosis and management are challenging. We present a well-timedand managed case of IEP.Case: The case was a 37-yr-old woman presented at the Royan Institute with achief complain of sudden onset of pelvic pain and moderate vaginal bleeding, threeweeks after her positive pregnancy test. She had got pregnant with in-vitro fertilizationprocedure. She was admitted for a two-dimensional ultrasound (2DUS). The 2DUSfindings showed a gestational sac with live embryo and yolk sac which was locatedhigh in the fundus and eccentric to the endometrium. The suspicion of IEP rose afterthe 2DUS findings, the confirmation of further diagnosis was then done by threedimensionalultrasound, and the treatment was done by laparoscopy. The patientunderwent laparoscopic left corneal resection. She was discharged after two days andher β-hCG achieved complete resolution (< 5 mIU/mL) after two weeks’ follow-up.Conclusion: According to the life-threatening complications that are associated withIEP, acquaintance and suspicion about IEP is important. Specified information thatobtained by three-dimensional ultrasound could be useful for exact locating anddetection.

Keywords:

Pregnancy , Ectopic , Diagnostic , Ultrasound , Laparoscopic assisted surgery