No Tube, Still Ectopic: Laparoscopic Resection of Interstitial Pregnancy

IF 3.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2025-10-22 DOI:10.1016/j.jmig.2025.09.072

E. Farabee, R. Barbaresso, W. Nolan, R. Paya Pasic, S. Parikh

{"title":"No Tube, Still Ectopic: Laparoscopic Resection of Interstitial Pregnancy","authors":"E. Farabee, R. Barbaresso, W. Nolan, R. Paya Pasic, S. Parikh","doi":"10.1016/j.jmig.2025.09.072","DOIUrl":null,"url":null,"abstract":"<div><h3>Study Objective</h3><div>To demonstrate the treatment of an interstitial ectopic pregnancy in the setting of unilateral fallopian tube agenesis.</div></div><div><h3>Design</h3><div>Case report with surgical video.</div></div><div><h3>Setting</h3><div>Academic tertiary care hospital.</div></div><div><h3>Patients or Participants</h3><div>A single patient.</div></div><div><h3>Interventions</h3><div>28-year-old G5P0122 with history of cesarean section x1, cholecystectomy, and laparoscopic gastric sleeve presented with vaginal bleeding and mild abdominal pain at approximately 6 weeks gestation. Interstitial ectopic pregnancy identified on ultrasound and MRI. Patient underwent laparoscopic resection at which time unilateral agenesis of the right fallopian tube was identified.</div></div><div><h3>Measurements and Primary Results</h3><div>Laparoscopic excision of interstitial ectopic pregnancy was completed successfully without intra- or post-operative complications and with minimal blood loss. Surgical technique was reviewed in the video. Patient was discharged on the day of surgery and had an uncomplicated surgical recovery. Final pathology was consistent with products of conception.</div></div><div><h3>Conclusion</h3><div>An interstitial ectopic pregnancy is a potential complication of unilateral fallopian tube agenesis.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 11","pages":"Page S5"},"PeriodicalIF":3.3000,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive gynecology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1553465025004091","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Study Objective

To demonstrate the treatment of an interstitial ectopic pregnancy in the setting of unilateral fallopian tube agenesis.

Design

Case report with surgical video.

Setting

Academic tertiary care hospital.

Patients or Participants

A single patient.

Interventions

28-year-old G5P0122 with history of cesarean section x1, cholecystectomy, and laparoscopic gastric sleeve presented with vaginal bleeding and mild abdominal pain at approximately 6 weeks gestation. Interstitial ectopic pregnancy identified on ultrasound and MRI. Patient underwent laparoscopic resection at which time unilateral agenesis of the right fallopian tube was identified.

Measurements and Primary Results

Laparoscopic excision of interstitial ectopic pregnancy was completed successfully without intra- or post-operative complications and with minimal blood loss. Surgical technique was reviewed in the video. Patient was discharged on the day of surgery and had an uncomplicated surgical recovery. Final pathology was consistent with products of conception.

Conclusion

An interstitial ectopic pregnancy is a potential complication of unilateral fallopian tube agenesis.

查看原文本刊更多论文

无管，仍异位：腹腔镜间质性妊娠切除术

研究目的探讨单侧输卵管发育不全的间质性异位妊娠的治疗方法。设计病例报告及手术录像。学术三级医院。患者或参与者：单个患者。干预措施28岁，G5P0122，有剖宫产史x1，胆囊切除术，腹腔镜胃套管，妊娠约6周出现阴道出血和轻度腹痛。间质性异位妊娠的超声和MRI诊断。患者接受腹腔镜切除，此时发现单侧右侧输卵管发育不全。结果腹腔镜下间质性异位妊娠手术成功，无术中及术后并发症，出血量少。视频中回顾了手术技术。患者于手术当日出院，手术恢复顺利。最终病理结果与受孕产物一致。结论间质性异位妊娠是单侧输卵管发育不全的潜在并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.