Clinical Medicine Reviews in Women's Health

The diagnosis of interstitial pregnancy (IP) is a challenge to the healthcare provider and has been documented to be the most difficult ectopic pregnancy (EP) to be diagnosed or managed. Unlike the diagnosis of other forms of EP that has now become precise and reliable, the diagnosis of IP has remained a challenge. Here, we report a case of IP that was suspected intraoperatively during evacuation of retained product of conception. It was successfully managed medically using methotrexate and folinic acid rescue.