Volume 8, Issue 3, September 2014, Pages 908–911
Hajar Derdabi1, F. Kassidi2, H. B. Laachiri3, Jaouad Kouach4, R.D. Moussaoui5, and Mohammed Dehayni6
1 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
2 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
3 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
4 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
5 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: English
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Interstitial pregnancy is a rare form of ectopic pregnancy, but it is associated with the highest risk of morbidity and mortality and needs early diagnosis. Interstitial, angular and cornual pregnancies are mistakenly and frequently confused and need a strict distinction. Interstitial pregnancy refers to an ectopic pregnancy that is implanted in the interstitial portion of the fallopian tube. Its correct diagnosis can be quite difficult; it relies heavily on quantitative beta-hCG assays and ultrasound and potentially on laparoscopic evaluation. The diagnosis by transvaginale ultrasonography is based on multiple criteria. Several effective treatment options for treatment of interstitial pregnancy have been described but the most appropriate technique remains controversial. Managing an interstitial pregnancy is dependent upon whether the ectopic pregnancy has ruptured, the stability of the patient, the gestational age at diagnosis and the patient's desire for future fertility. The greatest risk to patients after successful treatment remains recurrence of interstitial pregnancy and the uterine rupture during subsequent pregnancy this is why a transvaginale ultrasonography should be performed 5-6 weeks after the last menstrual period and a cesarean delivery should be planned at term or performed, if tocolysis fails in cases of preterm labor. To illustrate the particularities of this form of ectopic pregnancy we report two cases with a brief up date.
Author Keywords: ectopic pregnancy, interstitial pregnancy, cornual pregnancy, angular pregnancy, transvaginale ultrasonography, laparoscopy.
Hajar Derdabi1, F. Kassidi2, H. B. Laachiri3, Jaouad Kouach4, R.D. Moussaoui5, and Mohammed Dehayni6
1 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
2 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
3 Service Gynécologie - Obstétrique, Hôpital Militaire d'Instruction Mohammed V, Rabat, Morocco
4 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
5 Service Gynéco-Obstétrique Hôpital Militaire d'Instruction Mohamed V, CHU Rabat-Salé, Université Mohamed V Souissi, Rabat, Morocco
6 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: English
Copyright © 2014 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Interstitial pregnancy is a rare form of ectopic pregnancy, but it is associated with the highest risk of morbidity and mortality and needs early diagnosis. Interstitial, angular and cornual pregnancies are mistakenly and frequently confused and need a strict distinction. Interstitial pregnancy refers to an ectopic pregnancy that is implanted in the interstitial portion of the fallopian tube. Its correct diagnosis can be quite difficult; it relies heavily on quantitative beta-hCG assays and ultrasound and potentially on laparoscopic evaluation. The diagnosis by transvaginale ultrasonography is based on multiple criteria. Several effective treatment options for treatment of interstitial pregnancy have been described but the most appropriate technique remains controversial. Managing an interstitial pregnancy is dependent upon whether the ectopic pregnancy has ruptured, the stability of the patient, the gestational age at diagnosis and the patient's desire for future fertility. The greatest risk to patients after successful treatment remains recurrence of interstitial pregnancy and the uterine rupture during subsequent pregnancy this is why a transvaginale ultrasonography should be performed 5-6 weeks after the last menstrual period and a cesarean delivery should be planned at term or performed, if tocolysis fails in cases of preterm labor. To illustrate the particularities of this form of ectopic pregnancy we report two cases with a brief up date.
Author Keywords: ectopic pregnancy, interstitial pregnancy, cornual pregnancy, angular pregnancy, transvaginale ultrasonography, laparoscopy.
How to Cite this Article
Hajar Derdabi, F. Kassidi, H. B. Laachiri, Jaouad Kouach, R.D. Moussaoui, and Mohammed Dehayni, “Interstitial Pregnancy: Two Case Reports and Review of the Literature,” International Journal of Innovation and Applied Studies, vol. 8, no. 3, pp. 908–911, September 2014.
