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case_images: Transvaginal ultrasound of an interstitial ectopic pregnancy. A - Showing a gestation (Blue arrow) near the horn of the uterus. B - Showing a gestation (blue arrow) towards the left side with an empty endometrial cavity. C - Increased vascular Doppler flow (blue arrow) around the gestation.
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case_images: Routine ANC investigations revealed no abnormality on blood work however the routine ultrasound revealed a gestation more towards the left side of the uterus with an empty endometrial cavity suspicious for an ectopic pregnancy verses a uterine abnormality (Fig. 1).
case_images: An MRI pelvis. A - Coronal view showing a heterogeneous signal intensity mass (Blue arrow) centered at the interstitial portion of the left fallopian tube immediately lateral to the left uterine angle. B - Sagittal view of a mass with a fetus within (blue arrow). C - Axial view of a mass on the left side with a fetus within (blue arrow).
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case_images: The MRI revealed a centred gestation at the interstitial portion of the left fallopian tube immediately lateral to the left uterine angle with a foetus seen with a crown rump length of 5.8 cm corresponding to 12 weeks (Fig. 2).
case_images: Intraoperative findings of an interstitial ectopic pregnancy. A - Unruptured interstitial ectopic pregnancy. B - Post wedge resection and left salpingectomy. C - Feotus within the gestational sac after wedge resection.
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case_images: Under general anaesthesia, laparotomy was carried out and the diagnosis of an unruptured right interstitial pregnancy was confirmed (Fig. 3).