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.