2003, Number 4
An Med Asoc Med Hosp ABC 2003; 48 (4)
Ceniceros FLG, Aldaco SF, Cruz MVP, Carreto CG, Rojas PG, Díaz AD
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ABSTRACTEctopic pregnancy rates are steadily increasing. Similarly, interstitial pregnancy rates are increasing and account for 2% to 4% of all tubal pregnancies. Before the 19th century, ectopic pregnancies were thought to be fatal; however the mortality rate has since decreased dramatically from 72-90% in 1880 to 0.14% in 1990. The standard treatment for interstitial pregnancies has been laparotomy and cornual resection with hysterectomy required in many cases in order to control bleeding. With advances in transvaginal ultrasound technology, interstitial gestations can now be identified at on early stage, while the patient is asymptomatic and when medical intervention would be most effective. This report describes the conservative management of a large cornual ectopic pregnancy by laparotomy and reviews the techniques of conservative repair that has been described in the literature.