Step-by-step guide to the surgical management of a recurrent interstitial ectopic pregnancy

Abstract

Video abstract summary The purpose of this educational video is toprovide a brief overview of interstitial ectopic pregnancy, describe a rare case of a recurrent interstitial ectopic pregnancy after previous ipsilateral cornuectomy and demonstrate a minimally invasive surgical approach to management. We describe the case of a 38 year old G5P2 woman who presented with imaging concerning for a left interstitial ectopic pregnancy. She had previously undergone a left salpingectomy and left uterine wedge resection for separate pregnancies making the case complex and clinically fascinating. This educational video outlines clinical considerations and demonstrates the surgical approach to management. A laparoscopic left corunectomy was successfully performed and the patient recovered well. Recurrent interstitial ectopic pregnancy poses a high risk to patients but can be safely managed with a minimally invasive surgical approach when techniques focused on surgical planning, blood conservation, post operative care and extensive patient counselling are implemented.