Interstitial Ectopic Pregnancy
Introduction
We present an interesting case of an interstitial ectopic pregnancy, which followed a fallopian ectopic on the ipsilateral side. Ectopic pregnancies are still the number one cause of early pregnancy deaths in the United Kingdom, directly related to pregnancy1. There may not be any statistical difference between the case fatality rates between the Seventh and Eighth report from the Centre of Maternal and Child Enquiries, but the fatalities are still of clinical significance1. An ectopic pregnancy (EP) is a pregnancy implanted outside of the intrauterine cavity. The most common site is the fallopian tube (95.5%) followed by the ovaries (3.2%) and abdomen (1.3%)2. The most common site in the fallopian tube is the ampulla. Rupture of ectopics is a serious and life-threatening complication of early pregnancy.
Interstitial pregnancies are ectopic pregnancies, which are implanted in the intramyometrial portion of the fallopian tube and constitutes 2.5% of all EPs2. The term interstitial pregnancy is used interchangeably in the literature with cornual pregnancies. A true cornual pregnancy occurs in the cornu of a bicornuate uterus. It is important not to confuse these with angular pregnancies that arise in the angle of the uterine cavity medial to the ostium3. Presentation varies, but in a woman of reproductive age, the classic presentation of amenorrhoea, light vaginal bleeding and lower abdominal pain should automatically put the possibility of an EP amongst the differential diagnoses.

Case Report
A 28 year-old Caucasian lady presented with a recurrent ectopic pregnancy on the ipsilateral right side within an interval of two months.She was gravida 2 para 1 at initial presentation. Her first pregnancy resulted in a live female infant via an uncomplicated spontaneous vaginal delivery, three years and two months prior....

http://ispub.com/IJGO/19/1/17588
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