Tubal interstitial pregnancy diagnosed by echography, hysteroscopy and laparoscopy; a case report.

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Tubal interstitial pregnancy comprises about 2 % of all ectopic pregnancies, and the diagnosis is rather difficult by conventional methods. Recently we treated a patient with tubal interstitial pregnancy. A combination of ultrasound, hysteroscopy and laparoscopy was useful in the diagnosis.<BR>The patient was a 45-year-old housewife. A ultrasound examination was performed in the ninth week, but no gestational sac was seen in the uterine cavity. A hysteroscopic examination revealed a dilated left ostium and a degenerated tissue in the dilated tube. Left tubal interstitial pregnancy was suspected and laparoscopy was performed. A dark red hemisphere-shaped tumor, 3 cm in diameter, was found in the left interstitial portion of the fallopian tube, and total abdominal hysterectomy with left adnexectomy was performed. A hystological examination confirmed left tubal interstitial pregnancy.
近畿産科婦人科学会の論文