Introduction

Ectopic pregnancy is one in which the fertilized ovum is implanted and develops outside the normal endometrial cavity. Interstitial ectopic pregnancy is located outside the uterine cavity in the part of the fallopian tube that penetrates the muscular layers of the uterus. It is also known as cornual ectopic pregnancy. It is a rare type of ectopic pregnancy which accounts 2-4% of all the ectopic pregnancy. It's mortality rate is 6-7 times higher than other types of ectopic pregnancies. 

The risk factors includes assisted reproductive techniques, previous tubal pregnancy, tubal surgeries, a history of pelvic inflammatory disease and sexually transmitted diseases. Early diagnosis is made by USG and B HCG level.

Aim

To present a case of left sided ruptured interstitial ectopic pregnancy 

Setting

Department of Obstetrics and Gynecology, Katihar Medical College, Katihar

Case Summary

A 35 year old G4P2+1L2 with 2 months amenorrhea presented to obstetrics causality with complaints of acute pain abdomen since 4 days. Pain was all over the abdomen with no aggravating or relieving factors. She also had complained of spotting per vaginum since 4 days. There was history of nausea and vomiting (3-4 episodes) since 2 days. Patient also had a history of syncopal attack 1 day back lasting for 1 -2 minutes. Bladder and bowel were regular. Her previous menstrual cycle was normal. There was no significant past, personal, or any surgical history. 

1. Barrel, J.S., & Novak,E.(2020). Berek and Novak's gyanecology. chapter 32.(16^th). Philadelphia; Lippincott Williams & Williams. 
2. Cunningham, F.G., Leveno, K.J., etal, editors. Williams obstetrics chapter 19(25^th). Newyork McGraw-hill Education; 2018:pg- 380-381
3. Tulane T, Al- Jaroudi D. Interstitial Pregnancy: results generated from the society of Reproductive Surgeons registry. Obstet Gynecol 2004;103:47-50.

Dr Nitu Bharti

2^nd  year PGT, Department of Obstetrics and Gynaecology, KMCH, Katihar