Interstitial ectopic pregnancy occurs when a gestational sac implants within the interstitial portion of the Fallopian tube. It is an uncommon and dangerous type of ectopic pregnancy with high morbidity and mortality. Rupture of interstitial ectopic pregnancy usually leads to life-threatening hemorrhage. This case report illustrates how failure of early detection of interstitial ectopic pregnancy resulted in a maternal near-miss and calls for the need for increased awareness and high index of suspicion among sonographers and clinicians. A case of a 24-year-old gravida two para zero, one previous ectopic pregnancy (G2P01EP) was brought into our facility with generalized abdominal pain and hemorrhagic shock. She had a previous history of left salpingectomy for a ruptured tubal ectopic pregnancy four years earlier at a secondary health care facility. Emergency laparotomy after aggressive resuscitation revealed ruptured interstitial ectopic pregnancy with massive hemoperitoneum and a dead fetus. Wedge resection of the right cornua along with the Fallopian tube was done. Diagnosis of interstitial ectopic pregnancy is challenging due to its rarity and location in the intrauterine portion of the Fallopian tube. Ultrasonographic diagnosis in early pregnancy is key. Awareness creation and a high index of suspicion is required among sonographers and clinicians to prevent needless morbidity and mortality.
| Published in | Journal of Gynecology and Obstetrics (Volume 9, Issue 4) |
| DOI | 10.11648/j.jgo.20210904.16 |
| Page(s) | 125-127 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Ectopic, Hemorrhagic Shock, Interstitial, Life-threatening, Near-miss
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APA Style
David Putiero Suoseg, Anwar Sadat Seidu, Ubeida Koray, Safia Iddrisu, Munkaila Mohammed, et al. (2021). Ruptured Interstitial Ectopic Pregnancy at 18 Weeks: How Failure of Early Detection Resulted in a Maternal Near-miss. Journal of Gynecology and Obstetrics, 9(4), 125-127. https://doi.org/10.11648/j.jgo.20210904.16
ACS Style
David Putiero Suoseg; Anwar Sadat Seidu; Ubeida Koray; Safia Iddrisu; Munkaila Mohammed, et al. Ruptured Interstitial Ectopic Pregnancy at 18 Weeks: How Failure of Early Detection Resulted in a Maternal Near-miss. J. Gynecol. Obstet. 2021, 9(4), 125-127. doi: 10.11648/j.jgo.20210904.16
AMA Style
David Putiero Suoseg, Anwar Sadat Seidu, Ubeida Koray, Safia Iddrisu, Munkaila Mohammed, et al. Ruptured Interstitial Ectopic Pregnancy at 18 Weeks: How Failure of Early Detection Resulted in a Maternal Near-miss. J Gynecol Obstet. 2021;9(4):125-127. doi: 10.11648/j.jgo.20210904.16
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author = {David Putiero Suoseg and Anwar Sadat Seidu and Ubeida Koray and Safia Iddrisu and Munkaila Mohammed and Shafawu Mustapha Baba and Abraham Babatuiamu Titigah and Ana Maria Simono Charadan},
title = {Ruptured Interstitial Ectopic Pregnancy at 18 Weeks: How Failure of Early Detection Resulted in a Maternal Near-miss},
journal = {Journal of Gynecology and Obstetrics},
volume = {9},
number = {4},
pages = {125-127},
doi = {10.11648/j.jgo.20210904.16},
url = {https://doi.org/10.11648/j.jgo.20210904.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20210904.16},
abstract = {Interstitial ectopic pregnancy occurs when a gestational sac implants within the interstitial portion of the Fallopian tube. It is an uncommon and dangerous type of ectopic pregnancy with high morbidity and mortality. Rupture of interstitial ectopic pregnancy usually leads to life-threatening hemorrhage. This case report illustrates how failure of early detection of interstitial ectopic pregnancy resulted in a maternal near-miss and calls for the need for increased awareness and high index of suspicion among sonographers and clinicians. A case of a 24-year-old gravida two para zero, one previous ectopic pregnancy (G2P01EP) was brought into our facility with generalized abdominal pain and hemorrhagic shock. She had a previous history of left salpingectomy for a ruptured tubal ectopic pregnancy four years earlier at a secondary health care facility. Emergency laparotomy after aggressive resuscitation revealed ruptured interstitial ectopic pregnancy with massive hemoperitoneum and a dead fetus. Wedge resection of the right cornua along with the Fallopian tube was done. Diagnosis of interstitial ectopic pregnancy is challenging due to its rarity and location in the intrauterine portion of the Fallopian tube. Ultrasonographic diagnosis in early pregnancy is key. Awareness creation and a high index of suspicion is required among sonographers and clinicians to prevent needless morbidity and mortality.},
year = {2021}
}
TY - JOUR T1 - Ruptured Interstitial Ectopic Pregnancy at 18 Weeks: How Failure of Early Detection Resulted in a Maternal Near-miss AU - David Putiero Suoseg AU - Anwar Sadat Seidu AU - Ubeida Koray AU - Safia Iddrisu AU - Munkaila Mohammed AU - Shafawu Mustapha Baba AU - Abraham Babatuiamu Titigah AU - Ana Maria Simono Charadan Y1 - 2021/08/27 PY - 2021 N1 - https://doi.org/10.11648/j.jgo.20210904.16 DO - 10.11648/j.jgo.20210904.16 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 125 EP - 127 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20210904.16 AB - Interstitial ectopic pregnancy occurs when a gestational sac implants within the interstitial portion of the Fallopian tube. It is an uncommon and dangerous type of ectopic pregnancy with high morbidity and mortality. Rupture of interstitial ectopic pregnancy usually leads to life-threatening hemorrhage. This case report illustrates how failure of early detection of interstitial ectopic pregnancy resulted in a maternal near-miss and calls for the need for increased awareness and high index of suspicion among sonographers and clinicians. A case of a 24-year-old gravida two para zero, one previous ectopic pregnancy (G2P01EP) was brought into our facility with generalized abdominal pain and hemorrhagic shock. She had a previous history of left salpingectomy for a ruptured tubal ectopic pregnancy four years earlier at a secondary health care facility. Emergency laparotomy after aggressive resuscitation revealed ruptured interstitial ectopic pregnancy with massive hemoperitoneum and a dead fetus. Wedge resection of the right cornua along with the Fallopian tube was done. Diagnosis of interstitial ectopic pregnancy is challenging due to its rarity and location in the intrauterine portion of the Fallopian tube. Ultrasonographic diagnosis in early pregnancy is key. Awareness creation and a high index of suspicion is required among sonographers and clinicians to prevent needless morbidity and mortality. VL - 9 IS - 4 ER -
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