Abstract

A 44-year-old, grandmultiparous woman who had given birth more than five times was reviewed in the early pregnancy clinic as their history indicated early reassurance ultrasound. Findings of the early pregnancy ultrasound suggested a tubal ectopic pregnancy (in the fallopian tube). A diagnostic laparoscopy and uterine curettage were both negative. A subsequent transvaginal ultrasound confirmed a non-viable interstitial ectopic pregnancy (a pregnancy outside of the womb, in the portion of fallopian tube closest to the womb). Conservative management was used as the woman remained haemodynamically stable with reducing serum βhCG. Following ten weeks, her serum βhCG normalised and she was discharged. Interstitial ectopic pregnancy poses diagnostic and management complexities. Delayed diagnosis leads to elevated risks. Management options include surgical (laparotomy, uterine wedge resection) and non-surgical approaches (medical and conservative). Earlier diagnosis of smaller, stable cases facilitates medical management, while non-viable cases can be conservatively managed. This case emphasises the importance of prompt recognition and tailored interventions to enhance patient outcomes.