PT  - JOURNAL ARTICLE
AU  - Anna Alexandra McDougall
AU  - Schahrazed Rouabhi
AU  - Zwelihe Magama
AU  - Funlayo Odejinmi
TI  - Laparoscopic myomectomy to facilitate laparoscopic resection of a bleeding interstitial ectopic pregnancy
AID  - 10.1136/bcr-2022-250584
DP  - 2022 Sep 01
TA  - BMJ Case Reports
PG  - e250584
VI  - 15
IP  - 9
4099  - http://casereports.bmj.com/content/15/9/e250584.short
4100  - http://casereports.bmj.com/content/15/9/e250584.full
SO  - BMJ Case Reports2022 Sep 01; 15
AB  - Interstitial pregnancies present a diagnostic and management challenge and are associated with significant bleeding risk. We present a case of an interstitial ectopic pregnancy where there was a diagnostic delay due to the presence of uterine fibroids and where a laparoscopic myomectomy was required in order to perform laparoscopic resection of the ruptured interstitial pregnancy.This case demonstrates the possibilities at laparoscopy for ectopic pregnancy, highlights the benefit of a structured ‘buddy’ system between gynaecology surgeons and brings attention to the paucity of literature on the unique management challenges of ectopic pregnancy in the presence of leiomyoma.