Abstract
Interstitial pregnancy is ectopic pregnancy which occurs within the intramural (interstitial) part of the uterine tube. The frequency of its occurrence is 3-4% of all ectopic pregnancies. It is also significant because of a long asymptomatic period and common ending with the rupture of the uterine horn as a serious complication. Mortality after this type of ectopic pregnancy is about 2,5%. This paper presents a case of a 29year-old patient hospitalized for suspected ectopic interstitial pregnancy in the left uterine horn. Her anamnesis showed the left tube pregnancy ended with salpingectomy after the rupture of the uterine tube. The patient was examined both clinically and by ultrasound, her s-HCG level was being monitored, and after an adequate preoperative preparation, she underwent a surgery. Surgical intervention consisted of the incision of pregnancy-altered uterine horn, curettage and evacuation of ovulary tissue, which saved the uterine horn. Timely diagnosis of interstitial pregnancy can prevent its possible serious complications. Acta Medica Medianae 2015;54(2):52-55.
Highlights
Interstitial pregnancy is ectopic pregnancy (EP) which occurs within the intramural part of the uterine tube [1]
Interstitial part of uterine tube is approximately 12cm long and its average diameter is 0,7mm, but in spite of a small diameter, it has a great ability of expansion before the rupture of the uterine horn
Mortality in interstitial pregnancy is about 2,5% which is 7 times higher compared to other localizations of EP [3]
Summary
Interstitial pregnancy is ectopic pregnancy which occurs within the intramural (interstitial) part of the uterine tube. The frequency of its occurrence is 3-4% of all ectopic pregnancies It is significant because of a long asymptomatic period and common ending with the rupture of the uterine horn as a serious complication. Mortality after this type of ectopic pregnancy is about 2,5%. This paper presents a case of a 29year-old patient hospitalized for suspected ectopic interstitial pregnancy in the left uterine horn. Her anamnesis showed the left tube pregnancy ended with salpingectomy after the rupture of the uterine tube.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have