The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

A case report of interstitial ectopic pregnancy (Corneal) with placenta Increta in the second half of pregnancy

Document Type : Case report

Authors
Zahra Yazdi 1
Hoora Amouzegar 1
Zohre Khalajinia 2
1 Assistant professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Qom University of Medical Sciences Qom, Iran.
2 Assistant professor, Department of Midwifery, School of Nursing and Midwifery, Qom University of Medical Sciences, Qom, Iran.
10.22038/ijogi.2019.13207
Abstract
Introduction: Interstitial pregnancy is a dangerous and challenging ectopic pregnancy. Despite different diagnostic methods, the early detection of interstitial pregnancy is very difficult and misleading. Interstitial ectopic pregnancy tends to severe bleeding, so that incorrect diagnosis leads to life threatening of patient. The aim of this study was to introduce a case of interstitial ectopic pregnancy (Corneal) with placenta Increta in the second half of pregnancy.
Case Report: A 23-year-old woman G2 with history of previous cesarean section, at 23 weeks of pregnancy with complaints of abdominal pain, nausea and vomiting after sexual intercourse referred to Izadi educational Hospital. Regarding drop in vital signs, oliguria, generalized tenderness and ultrasound reports of abdominal blood, the patient was transferred to the operating room. On the left, interstitial ectopic pregnancy was torn with placenta Increta. The embryo was removed, but the placenta was placed in the cornea to the cervix and to the broad ligament. Hysterectomy was performed due to the placenta Increta. Ultimately, the diagnosis and immediate treatment saved the patient's life. The pathological study showed placenta Increta.
Conclusion: Intrauterine ectopic pregnancy is one of the rare diseases. Since interstitial pregnancy is located in a place full of vessels, any rupture can lead to catastrophic and life threatening bleeding. Interstitial pregnancy requires accurate diagnosis and immediate treatment. Proper and timely intervention therapy can prevent serious complications and reduce maternal mortality and mortality.
Keywords
Corneal pregnancy
Ectopic pregnancy
Laparotomy
Placenta increta
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 22, Issue 2
April 2019
Pages 96-101