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Open AccessCase Report

Disturbed Interstitial Pregnancy: A First Case of Successful Treatment Using a Mini-Laparoscopic Approach

1
Obstetrics and Gynecology Clinic, Acibadem City Clinic Hospital “Tokuda”, PC 1000 Sofia City, Bulgaria
2
Clinic of Gastroenterology, University Hospital for Active Treatment “Alexandrovska”, PC 1000 Sofia City, Bulgaria
3
Clinic of Oncological Gynecology, University General Hospital for Active Treatment “Dr. G. Stranski”, PC 5800 Pleven City, Bulgaria
*
Author to whom correspondence should be addressed.
Medicina 2019, 55(5), 215; https://doi.org/10.3390/medicina55050215
Received: 27 February 2019 / Revised: 8 April 2019 / Accepted: 21 May 2019 / Published: 27 May 2019
Interstitial ectopic pregnancy (EP) is a life-threatening condition due to the risk of massive hemorrhage in the event of its disturbance. We present the case of a 27-year-old patient who was admitted with massive hemoperitoneum, caused by the rupture of an interstitial pregnancy in the area of the fallopian tube stump, which had been removed after a previous ectopic pregnancy. The condition was overcome using a mini-laparoscopic approach (2.6 mm, 30° optics), with one 3 mm port for micro-laparoscopic instruments and one 10 mm port. Such an approach has not yet been reported in the available literature, among the casuistically reported cases of pregnancy in the tubal stump. We consider that the technique is safe, completely in the interest of the patient, applicable by an experienced team, and in agreement with modern trends regarding the minimization of operative access. View Full-Text
Keywords: mini-laparoscopy; minimally invasive surgery; interstitial pregnancy; ectopic pregnancy of tubal stump mini-laparoscopy; minimally invasive surgery; interstitial pregnancy; ectopic pregnancy of tubal stump
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Tantchev, L.; Kotzev, A.; Yordanov, A. Disturbed Interstitial Pregnancy: A First Case of Successful Treatment Using a Mini-Laparoscopic Approach. Medicina 2019, 55, 215.

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