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URL: http://ismj.bpums.ac.ir/article-1-614-en.html
, Roya Faraji2 , Ziba Zahiri * 3, Forozan Milani4 , Seyedeh Fatemeh Dalil Heirati5
2- Department of Obstetric& Gynecology , Reproductive Health Research Center, Guilan University of Medical Sciences
3- Department of infertility, Reproductive Health Research Center, Guilan University of Medical Sciences , drzibazahiri@yahoo.com
4- Department of Perinatology, Reproductive Health Research Center, Guilan University of Medical Sciences
5- Department of Midwifery, Reproductive Health Research Center, Guilan University of Medical Sciences
Diagnose and treatment of interstitial pregnancy remains challenging because this rare entity can be life threatening due to rupture and intra abdominal hemorrhage. Early diagnosis and treatment is paramount to reduce maternal mortality and maintain fertility. In this study a 37 years woman with 6weeks of amenorrhea, who presented with spoting and lower abdominal pain was admitted. Transvaginal ultrasonography scan showed a heterogenous mass in right adenex with hypervascular ring, the uterus was empty. The initial beta hCG level was 200 MIU/ml. Serial beta hCG levels platued in the follow up period. Diagnosis was suspected for ectopic pregnancy, a laparoscopy followed revealed the presence of right corneal pregnancy that corneal resection was performed. Laparoscopy appears to be safe and an effective treatment for unruptured interstitial pregnancy.
Received: 2013/01/24 | Accepted: 2013/06/11 | Published: 2014/10/15
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