3D Ultrasound Preoperative Planning for a Laparoscopic Cornual Wedge Resection

Abstract

Study Objective The objective of this study was to investigate the role of three-dimensional (3D) ultrasound in preoperative diagnosis and planning for a laparoscopic cornual wedge resection for an interstitial ectopic pregnancy. Design Video case report. Setting Operating room, patient positioned in dorsal lithotomy with Allen stirrups. The case was completed laparoscopically after direct entry in the left upper quadrant, due to the presence of umbilical mesh. Patients or Participants One patient who presented with an interstitial ectopic pregnancy. Interventions 3D ultrasound and a laparoscopic cornual wedge resection. Measurements and Main Results 3D ultrasound was able to quickly diagnose an interstitial ectopic pregnancy. 3D ultrasound was also useful in preoperative planning for a laparoscopic cornual wedge resection. Conclusion Interstitial ectopic pregnancies are difficult to diagnose, frequently requiring MRI for preoperative planning. 3D ultrasound is a promising modality for expedited and accurate diagnosis of interstitial ectopic pregnancies, especially when urgent surgery is indicated. We present a case of an interstitial ectopic pregnancy diagnosed with 3D ultrasound, that was ultimately successfully treated with a laparoscopic cornual wedge resection without complication. The objective of this study was to investigate the role of three-dimensional (3D) ultrasound in preoperative diagnosis and planning for a laparoscopic cornual wedge resection for an interstitial ectopic pregnancy. Video case report. Operating room, patient positioned in dorsal lithotomy with Allen stirrups. The case was completed laparoscopically after direct entry in the left upper quadrant, due to the presence of umbilical mesh. One patient who presented with an interstitial ectopic pregnancy. 3D ultrasound and a laparoscopic cornual wedge resection. 3D ultrasound was able to quickly diagnose an interstitial ectopic pregnancy. 3D ultrasound was also useful in preoperative planning for a laparoscopic cornual wedge resection. Interstitial ectopic pregnancies are difficult to diagnose, frequently requiring MRI for preoperative planning. 3D ultrasound is a promising modality for expedited and accurate diagnosis of interstitial ectopic pregnancies, especially when urgent surgery is indicated. We present a case of an interstitial ectopic pregnancy diagnosed with 3D ultrasound, that was ultimately successfully treated with a laparoscopic cornual wedge resection without complication.