OBJECTIVE: To describe a conservative management by laparoscopy of an unusual interstitial twin pregnancy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 27-year-old woman, pregnant at 6th week of amenorrhea with interstitial twin pregnancy. INTERVENTION(S): The woman was submitted to two- and three-dimensional transvaginal ultrasound and to diagnostic hysteroscopy. Subsequently, we performed a laparoscopic procedure: conical exeresis of the uterine cornu using a monopolar hook without involving the uterine cavity. MAIN OUTCOME MEASURE(S): Conservation of the uterus, fertility preservation. RESULT(S): Successful conservative treatment of interstitial twin pregnancy. CONCLUSION(S): Conservative laparoscopic surgery can be used successfully in hemodynamically stable patients with an interstitial pregnancy.
OBJECTIVE: To describe a conservative management by laparoscopy of an unusual interstitial twin pregnancy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 27-year-old woman, pregnant at 6th week of amenorrhea with interstitial twin pregnancy. INTERVENTION(S): The woman was submitted to two- and three-dimensional transvaginal ultrasound and to diagnostic hysteroscopy. Subsequently, we performed a laparoscopic procedure: conical exeresis of the uterine cornu using a monopolar hook without involving the uterine cavity. MAIN OUTCOME MEASURE(S): Conservation of the uterus, fertility preservation. RESULT(S): Successful conservative treatment of interstitial twin pregnancy. CONCLUSION(S): Conservative laparoscopic surgery can be used successfully in hemodynamically stable patients with an interstitial pregnancy.