A Galani1, A Zikopoulos2, E Moulias1, M Paschopoulos1, K Zikopoulos1. 1. University Hospital of Ioannina, Department of Obstetrics and Gynecology, Ioannina, Greece. 2. Obstetrics and Gynecology Royal Cornwall Hospital, Cornwall, UK.
Abstract
BACKGROUND: Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2-6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested. CASE PRESENTATION: We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. She was hemodynamically stable and requested fertility-sparing treatment. She was managed successfully with methotrexate and folinic acid with a hospital stay of 17 days. CONCLUSION: Interstitial pregnancy can be managed medically. However, these patients require close monitoring.
BACKGROUND: Interstitial pregnancy is a rare type of ectopic pregnancy, accounting for 2-6% of ectopic pregnancies, but it can be life threatening. There is no clear consensus on management, either surgical or medical, and it depends on hemodynamic stability and whether fertility-sparing treatment is requested. CASE PRESENTATION: We present the case of a 35-year-old woman (G2, P1) who was diagnosed with an interstitial pregnancy at 10 weeks of gestation following in vitro fertilization. She was hemodynamically stable and requested fertility-sparing treatment. She was managed successfully with methotrexate and folinic acid with a hospital stay of 17 days. CONCLUSION: Interstitial pregnancy can be managed medically. However, these patients require close monitoring.
Authors: Nash S Moawad; Sangeeta T Mahajan; Michelle H Moniz; Sarah E Taylor; William W Hurd Journal: Am J Obstet Gynecol Date: 2010-01 Impact factor: 8.661