Laparoscopic treatment of interstitial twin pregnancy.

OBJECTIVE

To describe a conservative management by laparoscopy of an unusual interstitial twin pregnancy.

DESIGN

Case report.

SETTING

University hospital.

PATIENT(S): A 27-year-old woman, pregnant at 6th week of amenorrhea with interstitial twin pregnancy.

INTERVENTION(S): The woman was submitted to two- and three-dimensional transvaginal ultrasound and to diagnostic hysteroscopy. Subsequently, we performed a laparoscopic procedure: conical exeresis of the uterine cornu using a monopolar hook without involving the uterine cavity.

MAIN OUTCOME MEASURE(S): Conservation of the uterus, fertility preservation.

RESULT(S): Successful conservative treatment of interstitial twin pregnancy.

CONCLUSION(S): Conservative laparoscopic surgery can be used successfully in hemodynamically stable patients with an interstitial pregnancy.