Conservative surgical management of ruptured interstitial pregnancy

material used for promontofixation (5). Mesh exposure was probably favored by an incorrect placement of the tape (inversion). The tape route in contact with obturator externus muscle explains the infectious extension to the psoas and the thigh muscle compartments. The thigh muscle compartments, iliac and psoas muscles are close to the obturator muscle and the infectious process diffuses gradually. Subsequently, it was considered that it would have been preferable to have entirely removed the tape during the first surgery. Infectious complications exist with the transobturator tape procedure. Muscle compartments in proximity are at high risk of infection. This fact explains the severity of the case reported.

[1]  T. Bourne,et al.  The conservative management of interstitial pregnancy , 2004, BJOG : an international journal of obstetrics and gynaecology.

[2]  G. G. Nahum,et al.  Preventing ectopic pregnancies: how often does transperitoneal transmigration of sperm occur in effecting human pregnancy? , 2004, BJOG : an international journal of obstetrics and gynaecology.

[3]  L. Cindolo,et al.  Tension-free transobturator approach for female stress urinary incontinence. , 2004, Minerva urologica e nefrologica = The Italian journal of urology and nephrology.

[4]  X. Deffieux,et al.  A prospective randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. , 2004, American journal of obstetrics and gynecology.

[5]  F. Sergent,et al.  [Per- and postoperative complications of TVT (tension-free vaginal tape)]. , 2003, Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie.

[6]  J R Smith,et al.  Announcement of healthy baby boy born following abdominal radical trachelectomy. , 2003, International journal of gynecological cancer : official journal of the International Gynecological Cancer Society.

[7]  S. Lau,et al.  Conservative medical and surgical management of interstitial ectopic pregnancy. , 1999, Fertility and sterility.

[8]  R. M. H. McMinn,et al.  Last's anatomy : regional and applied , 1990 .

[9]  H. Drutz,et al.  Massive genital and vaginal vault prolapse treated by abdominal-vaginal sacropexy with use of Marlex mesh: review of the literature. , 1987, American journal of obstetrics and gynecology.