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.