%0 Journal Article
%T Spontaneous Intraoperative Rupture of a Large Interstitial Pregnancy: Laparoscopic Management
%A Dafopoulos
%A Konstantinos
%A Dragoumis
%A George
%A Gkorezi-Ntavela
%A Irontianta
%A Gorila
%A Georgia
%A Koukoura
%A Ourania
%A Pistofidis
%A George
%J -
%D 2020
%R https://doi.org/10.1155/2020/5626783
%X We present a case of a large interstitial pregnancy which was intraoperatively ruptured, but was eventually laparoscopically treated. The patient experienced 9 weeks of amenorrhea, and a right cornual pregnancy measuring 6£¿cm was diagnosed. The patient consented on having a minimal surgical treatment, and a laparoscopic right cornuotomy was decided. During surgery, and prior to any manipulation to the uterus, there was a spontaneous rupture of the ectopic which resulted in excessive bleeding. Temporal pressure at the bleeding site and ligation of the superior branches of the right uterine artery allowed for a careful dissection of the right uterine cornua and achieved hemostasis. The surgery proceeded uneventfully thereafter. Although surgical intervention in such cases entails a high risk of hemorrhage, successful completion of the laparoscopy lies on the meticulous preoperative planning and the controlled precise surgical steps during the procedure
%U https://www.hindawi.com/journals/criog/2020/5626783/