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Case Reports
. 2022 Sep 22;15(9):e250584.
doi: 10.1136/bcr-2022-250584.

Laparoscopic myomectomy to facilitate laparoscopic resection of a bleeding interstitial ectopic pregnancy

Anna Alexandra McDougall  1 , Schahrazed Rouabhi  2 , Zwelihe Magama  3 , Funlayo Odejinmi  3
Affiliations
Case Reports

Laparoscopic myomectomy to facilitate laparoscopic resection of a bleeding interstitial ectopic pregnancy

Anna Alexandra McDougall et al. BMJ Case Rep. .

Abstract

Interstitial pregnancies present a diagnostic and management challenge and are associated with significant bleeding risk. We present a case of an interstitial ectopic pregnancy where there was a diagnostic delay due to the presence of uterine fibroids and where a laparoscopic myomectomy was required in order to perform laparoscopic resection of the ruptured interstitial pregnancy.This case demonstrates the possibilities at laparoscopy for ectopic pregnancy, highlights the benefit of a structured 'buddy' system between gynaecology surgeons and brings attention to the paucity of literature on the unique management challenges of ectopic pregnancy in the presence of leiomyoma.

Keywords: Pregnancy; Reproductive medicine.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Laparoscopic images. (A) Haemoperitoneum (B) fetus of approximately 12 weeks gestation seen in the abdominal cavity arising from the ruptured cornua (C) 6 cm fibroid removed at myomectomy to facilitate access to the cornua allowing salpingectomy and cornuostomy.
Figure 2
Figure 2
Initial trans-vaginal ultrasound images suggestive of an ‘intrauterine’ pregnancy.
See this image and copyright information in PMC

References

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