IMR Press / CEOG / Volume 43 / Issue 1 / DOI: 10.12891/ceog2007.2016

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Laparoscopic temporary clipping of uterine and ovarian arteries for the treatment of interstitial ectopic pregnancy
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1 Department of Obstetric and Gynecology, Karadeniz Technical University, School of Medicine, Trabzon (Turkey)
Clin. Exp. Obstet. Gynecol. 2016, 43(1), 128–130; https://doi.org/10.12891/ceog2007.2016
Published: 10 February 2016
Abstract

Purpose of investigation: To assess the effect of laparoscopic temporary clipping of uterine and ovarian arteries for the treatment of interstitial ectopic pregnancy. Materials and Methods: A 29-year-old woman with vaginal bleeding and pelvic pain was admitted to thecurrent clinic. She had secondary amenorrhea for nine weeks. Transvaginal ultrasonography revealed normal empty uterus and right interstitial ectopic pregnancy with viable embryo. Laparoscopic temporary clipping of uterine and ovarian arteries, interstitial pregnancy resection, and primary myometrial suturing was performed. Results: Following dissection Latzko pararectal space for the visualization of both uterine arteries, four vascular clips were placed (two to uterine arteries, two to infundibulopelvic ligaments). Excision of interstitial pregnancy and primary myometrial suturing was performed with minimal blood loss. The patient was discharged from the hospital after one day without any remarkable complications. Conclusions: To the best of the authors’ knowledge, this is the first case of interstitial pregnancy that was successfully treated by temporary laparoscopic clipping of uterine and ovarian vessels prior to interstitial ectopic pregnancy resection.
Keywords
Interstitial ectopic pregnancy
Laparoscopy
Clipping
Uterine artery
Ovarian artery
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