Spontaneous Intraoperative Rupture of a Large Interstitial Pregnancy: Laparoscopic Management

Figure 1

(a) The anatomical relation with other pelvic structures is shown in this panel. (b) Profuse bleeding caused by spontaneous rupture of the ectopic. (c) The superior branches of the right uterine artery were coagulated and transected. (d) Injection of diluted vasopressin in the myometrium, close to the border of the ectopic. (e) The uterine wall is incised with monopolar cautery. (f) The gestational sac is exposed and ruptured during dissection. (g) A portion of the uterine horn has been excised. (h) The uterine wound was closed with interrupted sutures.

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