Step-by-Step Guide to the Surgical Management of Interstitial Ectopic Pregnancy
The purpose of this educational video is to provide 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.
While recurrent interstitial ectopic pregnancy does pose a high risk to patients, it can be safely managed with a minimally invasive surgical approach when techniques focused on surgical planning, blood conservation, vigilant post operative care and extensive patient counseling are implemented