An unusual case of interstitial pregnancy: a case report

Nikhil Sebastian; Abhishek Radhakrishnan; Vennila Murugesan

doi:10.18203/2320-1770.ijrcog20210771

Authors

Nikhil Sebastian Department of Reproductive Medicine, Kinder Women’s Hospital and Fertility Centre, Cherthala, Kerala, India
Abhishek Radhakrishnan Department of Reproductive Medicine, Kinder Women’s Hospital and Fertility Centre, Cherthala, Kerala, India
Vennila Murugesan Department of Fetal Medicine, Kinder Women’s Hospital and Fertility Centre, Cherthala, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20210771

Keywords:

Ectopic pregnancy, Interstitial pregnancy, In vitro fertilization, Laparoscopy

Abstract

Ectopic pregnancy (EP) has been found to be a common cause of morbidity, and on occasion, mortality among women in the reproductive age groups. The incidence of EP is 1-2% of all pregnancies. 93-97% of EP are tubal with the interstitial type consisting only 3-4%. A 31-year-old female patient with primary infertility underwent IVF (In Vitro Fertilization). Pregnancy was confirmed by βHCG (beta human chorionic gonadotropin). Her ultrasonography reported a mass in the right cornual region. The uterine cavity was empty. Laparoscopy was performed followed by resection of the right cornua with tubes. Histopathology report confirmed the diagnosis of Interstitial Pregnancy (IP). The patient had an uneventful post-operative period and was discharged the next day. EP is a common complication seen in cases undergoing IVF, and IP is a rare form of EP. Hence, early diagnosis and prompt intervention is required to avoid a potentially life-threatening situation.

Metrics

Metrics Loading ...

Author Biographies

Nikhil Sebastian, Department of Reproductive Medicine, Kinder Women’s Hospital and Fertility Centre, Cherthala, Kerala, India

Department of Reproductive Medicine

Abhishek Radhakrishnan, Department of Reproductive Medicine, Kinder Women’s Hospital and Fertility Centre, Cherthala, Kerala, India

Department of Reproductive Medicine

Vennila Murugesan, Department of Fetal Medicine, Kinder Women’s Hospital and Fertility Centre, Cherthala, Kerala, India

Department of Fetal Medicine

References

Walker JJ. Ectopic pregnancy. Clin Obstet Gynecol. 2007;50:89-99.

Kirsch JD, Scoutt LM. Imaging of ectopic pregnancy. Applied Radiol. 2010;10-25.

Grindler NM, Ng J, TocceK, Alvero R. Considerations for management of interstitial ectopic pregnancies: two case reports. J Med Case Rep 2016;10:6.

Steptoe PC; Edwards RG. Reimplantation of human embryo with subsequent tubal pregnancy. Lancet. 1976;1:880-2.

Tulandi T, Al-Jaroudi D. Interstitial pregnancy: results generated from the Society of Reproductive Surgeons registry. Obstet Gynecol. 2004;103:47-50.

Levine D: Ectopic pregnancy. Radiology. 2007,245:385-97.

Choi YS, Eun DS, Choi J, Shin KS, Choi JH, Park HD. Laparoscopic cornuotomy using a temporary tourniquet suture and diluted vasopressin injection in interstitial pregnancy. Fertil Steril. 2009,91:1933-7.

Wang J, Huang D, Lin X, Saravelos SH, Chen J. Incidence of interstitial pregnancy after in vitro fertilization/embryo transfer and the outcome of a consecutive series of 38 cases managed by laparoscopic cornuostomy or cornual repair. J Minim Invasive Gynecol. 2016;9:134-5.

Singh N, Tripathi R, Mala YM, Batra A. Diagnostic dilemma in cornual pregnancy-3D ultrasonography may Aid!! J Clin Diagn Res 2015;9:12-3.

Surbone A, Cottier O, Vial Y, Francini K, Hohlfeld P. Interstitial pregnancies diagnosis and management: an eleven cases series. Swiss Med Wkly 2013;143:13736.