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