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Preoperative Endovaginal Sonographic Diagnosis of an Unruptured Interstitial Pregnancy

Department of Obstetrics and Gynecology, the Division of Maternal-Fetal Medicine; Division of Gynecological Oncology, Strong Memorial Hospital, The University of Rochester School of Medicine and Dentistry, Rochester, New York; Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Strong Memorial Hospital, The University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 8668, Rochester, NY 14642-8668.

David Roberts, MD

Juliana Rideout, RT

Joseph J. Scibetta, MD

Brent Dubeshter, MD

Peter L. Kogut, MD

Jacques S. Abramowicz, MD

Department of Obstetrics and Gynecology, the Division of Maternal-Fetal Medicine; Division of Gynecological Oncology, Strong Memorial Hospital, The University of Rochester School of Medicine and Dentistry, Rochester, New York.

Interstitial pregnancies carry a higher maternal morbidity and mortality rate, due to the abundant ovarian and uterine arterial supply of this region, than do other tubal pregnancies. Prerupture diagnosis is crucial, inasmuch as rupture (which usually occurs at a later stage than in tubal gestations) may be followed by rapid exsanguination. Precise early diagnosis may permit conservative nonsurgical treatment with methotrexate. A case is presented in which preoperative diagnosis of an unruptured interstitial pregnancy was aided by endovaginal sonographic examination. Considerations of subsequent management are discussed.

Key Words: endovaginal sonographic examination • interstitial pregnancy

Journal of Diagnostic Medical Sonography, Vol. 8, No. 4, 203-205 (1992)
DOI: 10.1177/875647939200800406


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