A rare case of extraluminal interstitial pregnancy treated with laparoscopic cornuotomy

J Obstet Gynaecol Res. 2024 Jul;50(7):1273-1276. doi: 10.1111/jog.15962. Epub 2024 May 6.

Abstract

We report an extremely rare case of an extraluminal interstitial pregnancy. A 36-year-old nulliparous woman visited our hospital during the fifth week of gestation. Although no intrauterine gestational sac (GS) was identified, transabdominal ultrasonography revealed a GS-like cyst was detected in the right uterine horn. She underwent laparoscopic surgery for a suspected interstitial ectopic pregnancy. After laparoscopic cornuotomy, dye leakage was observed from the fimbria rather than the incision site. Finally, the patient was diagnosed with a right extraluminal interstitial pregnancy. Hysterosalpingography performed at three postoperative months revealed bilateral tubal passage. She conceived 7 months after surgery, with safe delivery by elective cesarean section at 38 weeks.

Keywords: ectopic pregnancy; extraluminal; interstitial pregnancy; laparoscopic cornuotomy; methotrexate.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Laparoscopy* / methods
  • Pregnancy
  • Pregnancy, Interstitial* / surgery