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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6418.18

Abstract

Background: Interstitial pregnancy is one of the most dangerous ectopic pregnancies and the diagnosis is challenging even in expert hands. Rupture of interstitial pregnancy can occur from 8- 16weeks of gestation and is associated with life threatening hemorrhage.

Case Presentation: In this case report, a 36years old G6P4L4A1 presented to North Easter Indira Gandhi Regional Instituteof Health and Medical Science Shillong with pain abdomen, bleeding per-vaginum following 1 month of amenorrhea. Ultrasonography detected hemoperitoneum and lesion in the pelvic cavity. On laparotomy, left interstitial pregnancy was detected and cornual wedge resection was done. Postoperatively patient was transfused with blood products.

Conclusion: High index of suspicion for this entity should be kept while performing sonography in a suspected case of ectopic pregnancy. Medical therapy and Minimal Invasive Surgeries should be offered as first line treatment in selected patients to improve future pregnancy outcomes but conventional management still requires in haemodynamically unstable cases.

Keywords: Interstitial Pregnancy; Cornual Pregnancy; Angular Pregnancy.

Corresponding Author : Nalini Sharma, Assistant Professor, Department of Obstetrics and Gynecology, B 1 D, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya 793018, India.