Spontaneous Intraoperative Rupture of a Large Interstitial Pregnancy: Laparoscopic Management

Abstract EN

We present a case of a large interstitial pregnancy which was intraoperatively ruptured, but was eventually laparoscopically treated.

The patient experienced 9 weeks of amenorrhea, and a right cornual pregnancy measuring 6 cm was diagnosed.

The patient consented on having a minimal surgical treatment, and a laparoscopic right cornuotomy was decided.

During surgery, and prior to any manipulation to the uterus, there was a spontaneous rupture of the ectopic which resulted in excessive bleeding.

Temporal pressure at the bleeding site and ligation of the superior branches of the right uterine artery allowed for a careful dissection of the right uterine cornua and achieved hemostasis.

The surgery proceeded uneventfully thereafter.

Although surgical intervention in such cases entails a high risk of hemorrhage, successful completion of the laparoscopy lies on the meticulous preoperative planning and the controlled precise surgical steps during the procedure.