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Case Reports
. 2018 Oct-Dec;7(4):172-174.
doi: 10.4103/GMIT.GMIT_9_18. Epub 2018 Sep 26.

Successful Procedure in Conservative Management of Interstitial (Cornual) Ectopic Pregnancy

Cepi Teguh Pramayadi  1 , Alvin Bramantyo  1 , Eka Rusdianto Gunardi  1
Affiliations
Case Reports

Successful Procedure in Conservative Management of Interstitial (Cornual) Ectopic Pregnancy

Cepi Teguh Pramayadi et al. Gynecol Minim Invasive Ther. 2018 Oct-Dec.

Abstract

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.

Keywords: Ectopic pregnancy; interstitial pregnancy; laparoscopy; vasopressin.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Right interstitial ectopic pregnanc
Figure 2
Figure 2
Evacuation of conceptual tissues
Figure 3
Figure 3
Injection vasopressin around the cornual mass
See this image and copyright information in PMC

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