Interstitial Ectopic Pregnancies: Laparoscopy Vs. Laparotomy | ||
| The Egyptian Journal of Fertility and Sterility | ||
| Article 1, Volume 17, Issue 1 - Serial Number 11106352, January 2013, Pages 2-6 PDF (1.24 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2013.257393 | ||
| Author | ||
| Botros Rizk, Candice Holliday, Mostafa Abuzeid* | ||
| FACOG, FRCSC, FACS, HCLD, Professor and Head of the Division of Reproductive Endocrinology and Infertility of the Department of Obstetrics & Gynecology at the University of South Alabama | ||
| Abstract | ||
| As used in the literature, an interstitial ectopic pregnancy can refer to three different situations. A true interstitial ectopic pregnancy occurs in the Fallopian tube’s interstitial or intramural segment. When a woman has a single uterine horn, a bicornuate uterus, or a septate uterus, her ectopic pregnancy is a cornual pregnancy. When an ectopic pregnancy occurs in one of the uterine angles, but outside the Fallopian tube, a rare angular pregnancy has occurred. In the past, an interstitial pregnancy was managed conservatively until over 12 weeks on the premise that the uterine muscle protected against early rupture. Recently, however, evidence contradicts this belief as early rupture is more common than initially thought. With the advances in laparoscopic surgery, laparoscopy is accomplished with great success. That said, if the physician deems it safer to do laparotomy, patient safety is key to management of an interstitial ectopic pregnancy. | ||
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