Volume 17, Issue 12 (December 2019)                   IJRM 2019, 17(12): 945-950 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Ahmadi F, Pahlavan F, Ramezanali F, Akhbari F. Interstitial ectopic pregnancy diagnosis by three-dimensional ultrasound and its laparoscopic management: A case report. IJRM. 2019; 17 (12) :945-950
URL: http://journals.ssu.ac.ir/ijrmnew/article-1-1436-en.html
1- Department of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran. , dr.Ahmadi11390@gmail.com
2- Department of Reproductive Imaging, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
3- Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
Abstract:   (4199 Views)
Background: Interstitial Ectopic Pregnancy (IEP) is an uncommon type of ectopic pregnancy with the risk of rupturing and bleeding. The incidence of IEP is about 2-4% of all EPs. The diagnosis and management are challenging. We present a well-timed and managed case of IEP.
Case: The case was a 37-yr-old woman presented at the Royan Institute with a chief complain of sudden onset of pelvic pain and moderate vaginal bleeding, three weeks after her positive pregnancy test. She had got pregnant with in-vitro fertilization procedure. She was admitted for a two-dimensional ultrasound (2DUS). The 2DUS findings showed a gestational sac with live embryo and yolk sac which was located high in the fundus and eccentric to the endometrium. The suspicion of IEP rose after the 2DUS findings, the confirmation of further diagnosis was then done by three-dimensional ultrasound, and the treatment was done by laparoscopy. The patient underwent laparoscopic left corneal resection. She was discharged after two days and her β-hCG achieved complete resolution (< 5 mIU/mL) after two weeks’ follow-up.
Conclusion: According to the life-threatening complications that are associated with IEP, acquaintance and suspicion about IEP is important. Specified information that obtained by three-dimensional ultrasound could be useful for exact locating and detection.
 
Full-Text [PDF 3291 kb]   (258 Downloads) |   |   Full-Text (HTML)  (171 Views)  

References
1. Tanaka Y, Mimura K, Kanagawa T, Kajimoto E, Takahashi K, Kakigano A, et al, Three‐dimensional sonography in the differential diagnosis of interstitial, angular, and intrauterine pregnancies in a septate uterus. J Ultrasound Med 2014; 33: 2031-2035. [DOI:10.7863/ultra.33.11.2031] [PMID]
2. Mahmud A, Afifi Y. Surgery for cornual or interstitial pregnancy. UK: John Wiley and Sone; 2016: 253. [DOI:10.1002/9781118298565.ch84] [PMID]
3. Warda H, Mamik MM, Ashraf M, Abuzeid MI. Interstitial ectopic pregnancy: conservative surgical management. JSLS 2014; 18: 197-203. [DOI:10.4293/108680813X13753907292836] [PMID] [PMCID]
4. Grindler NM, Ng J, Tocce K, Alvero R. Considerations for management of interstitial ectopic pregnancies: two case reports. J Med Case Rep 2016; 10: 106. [DOI:10.1186/s13256-016-0892-9] [PMID] [PMCID]
5. Alagbe OA, Adeniyi TO, Abayomi OA, Onifade EO. Interstitial ectopic pregnancy: a case report. Pan Afr Med J 2017; 28: 135. [DOI:10.11604/pamj.2017.28.135.13889] [PMID] [PMCID]
6. Lee R, Dupuis C, Chen B, Smith A, Kim YH. Diagnosing ectopic pregnancy in the emergency setting. Ultrasonography 2018; 37: 78-87. [DOI:10.14366/usg.17044] [PMID] [PMCID]
7. Sharma N, Upasana R. An ectopic pregnancy in the tubal interstitium: beware. J Clin Diagn Res 2013; 7: 160-162. [DOI:10.7860/JCDR/2012/5019.2696] [PMID] [PMCID]
8. Moawad NS, Mahajan ST, Moniz MH, Taylor SE, Hurd WW. Current diagnosis and treatment of interstitial pregnancy. Am J Obstet Gynecol 2010; 202: 15-29. [DOI:10.1016/j.ajog.2009.07.054] [PMID]
9. Surbone A, Cottier O, Vial Y, Francini K, Hohlfeld P, Achtari C. Interstitial pregnancies' diagnosis and management: an eleven cases series. Swiss Med Wkly 2013; 143: w13736. [DOI:10.4414/smw.2013.13736] [PMID]
10. Bourdel N, Roman H, Gallot D, Lenglet Y, Dieu V, Juillard D, et al. Interstitial pregnancy. Ultrasonographic diagnosis and contribution of MRI. A case report. Gynecol Obstet Fertil 2007; 35: 121-124. [DOI:10.1016/j.gyobfe.2006.06.023] [PMID]
11. Jiang LY, Wang PH, Lee HY, Chen CY. Diagnosis of interstitial ectopic pregnancy using a three-dimensional high-definition live rendering image. Taiwan J Obstet Gynecol 2015; 54: 465-466. [DOI:10.1016/j.tjog.2014.08.009] [PMID]
12. Ackerman TE, Levi CS, Dashefsky SM, Holt SC, Lindsay DJ. Interstitial line: sonographic finding in interstitial (cornual) ectopic pregnancy. Radiology 1993; 189: 83-87. [DOI:10.1148/radiology.189.1.8372223] [PMID]
13. Chandrasekhar C. Ectopic pregnancy: a pictorial review. Clin Imaging 2008; 32: 468-473. [DOI:10.1016/j.clinimag.2008.02.027] [PMID]
14. Valsky DV, Hamani Y, Verstandig A, Yagel S. The use of 3D rendering, VCI‐C, 3D power Doppler and B‐flow in the evaluation of interstitial pregnancy with arteriovenous malformation treated by selective uterine artery embolization. Ultrasound Obstet Gynecol 2007; 29: 352-355. [DOI:10.1002/uog.3888] [PMID]

Send email to the article author


© 2021 All Rights Reserved | International Journal of Reproductive BioMedicine

Designed & Developed by : Yektaweb