Laparoscopic cornuostomy for a large interstitial ectopic pregnancy

摘要

A 30-year-old woman with a known incomplete uterine septum was referred to our unit for persistent elevation of (3-human chorionic gonadotropin levels. Twelve weeks earlier, she was assumed to have had a complete miscarriage at 7 weeks of gestation. A trans vaginal ultrasound scan suggested a large right interstitial ectopic pregnancy, and the diagnosis was confirmed by laparoscopy (Fig. 1). Laparo-scopic cornuostomy after myometrial injection with diluted vasopressin was performed. This was followed by the total removal of the gestational sac (Fig. 2) and laparoscopic repair of the cornuostomy incision in 2 layers.