Sabbagh Majd, Othman Nehad, Chaikha Salah, Sukkar Rehab, alToto Amal, alQudsi Lina
Department of Gynecology and Obstetrics, University Hospital of Obstetrics and Gynecology in Damascus, Faculty of Medicine, Damascus University, Damascus, Syria.
Department of Gynecology and Obstetrics, University Hospital of Obstetrics and Gynecology in Damascus, Faculty of Medicine, Damascus University, Damascus, Syria.
Int J Surg Case Rep. 2024 Apr;117:109529. doi: 10.1016/j.ijscr.2024.109529. Epub 2024 Mar 18.
Interstitial pregnancies are a rare form of ectopic pregnancy with life threatening consequences. Thus, the aim of this report is to shed light on the importance of early diagnosis for optimal outcomes.
Herein, we present a case of an interstitial ectopic pregnancy in a 31-year-old Syrian female who presented only with mild non-specific abdominal pain. The ultrasound showed a gestational sac in the right horn of the uterus non-communicating with the endometrial cavity suggesting an interstitial ectopic pregnancy. Cornual excision and salpingectomy were performed with laparotomy instead of laparoscopy due to resource-limited facilities. Follow-up with serum human chorionic gonadotropin β-HCG continued until the hormone levels became undetectable.
Interstitial ectopic pregnancies can present with non-classic symptoms. Ultrasonographic evaluation for lower abdominal pain in women at the first trimester is essential to detect interstitial ectopic pregnancies.
Early diagnosis is key to prevent the life threatening progression of interstitial pregnancy, so this diagnosis should be kept in mind in women presenting with first trimester abdominal pain and/or vaginal bleeding.
间质部妊娠是一种罕见的异位妊娠形式，会带来危及生命的后果。因此，本报告的目的是阐明早期诊断对于实现最佳治疗效果的重要性。
在此，我们报告一例31岁叙利亚女性的间质部异位妊娠病例，该患者仅表现为轻度非特异性腹痛。超声检查显示子宫右角有一个妊娠囊，与子宫内膜腔不连通，提示间质部异位妊娠。由于资源有限，采用剖腹手术而非腹腔镜手术进行了宫角切除术和输卵管切除术。持续监测血清人绒毛膜促性腺激素β-HCG，直至激素水平无法检测到。
间质部异位妊娠可能表现为非典型症状。对孕早期出现下腹痛的女性进行超声评估对于检测间质部异位妊娠至关重要。
早期诊断是预防间质部妊娠危及生命进展的关键，因此对于出现孕早期腹痛和/或阴道出血的女性应考虑这一诊断。
