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We present a case of an interstitial ectopic pregnancy where there was a diagnostic delay due to the presence of uterine fibroids and where a laparoscopic myomectomy was required in order to perform laparoscopic resection of the ruptured interstitial pregnancy.<\/jats:p>\n               <jats:p>This case demonstrates the possibilities at laparoscopy for ectopic pregnancy, highlights the benefit of a structured \u2018buddy\u2019 system between gynaecology surgeons and brings attention to the paucity of literature on the unique management challenges of ectopic pregnancy in the presence of leiomyoma.<\/jats:p>","DOI":"10.1136\/bcr-2022-250584","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T11:51:23Z","timestamp":1663847483000},"page":"e250584","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic myomectomy to facilitate laparoscopic resection of a bleeding interstitial ectopic pregnancy"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3469-3290","authenticated-orcid":false,"given":"Anna Alexandra","family":"McDougall","sequence":"first","affiliation":[{"name":"Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Schahrazed","family":"Rouabhi","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zwelihe","family":"Magama","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Funlayo","family":"Odejinmi","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynaecology, Whipps Cross University Hospital NHS Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"2025082702272380000_15.9.e250584.1","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1080\/01443615.2017.1323852","article-title":"Evidence-Based management of non-tubal ectopic pregnancies","volume":"37","author":"Alalade","year":"2017","journal-title":"J Obstet Gynaecol"},{"key":"2025082702272380000_15.9.e250584.2","first-page":"555602","article-title":"Clinical dilemmas and risks of misdiagnosis and mismanagement associated with endogenous caesarean scar pregnancy: a case series and literature review","volume":"3","author":"Paterson","year":"2017","journal-title":"Glob J Reprod Med"},{"key":"2025082702272380000_15.9.e250584.3","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dem283"},{"key":"2025082702272380000_15.9.e250584.4","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1159\/000371763","article-title":"Beyond guidelines: effectiveness of a programme in achieving operative laparoscopy for all women requiring surgical management of ectopic pregnancy","volume":"80","author":"Odejinmi","year":"2015","journal-title":"Gynecol Obstet Invest"},{"key":"2025082702272380000_15.9.e250584.5","first-page":"hoaa055","article-title":"ESHRE Working group on ectopic pregnancy, Kirk E, Ankum P, Jakab a, et al. terminology for describing normally sited and ectopic pregnancies on ultrasound: ESHRE recommendations for good practice","volume":"16","year":"2020","journal-title":"Hum Reprod Open"},{"key":"2025082702272380000_15.9.e250584.6","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1002\/jum.14207","article-title":"The Term \"Cornual Pregnancy\" Should Be Abandoned","volume":"36","author":"Baltarowich","year":"2017","journal-title":"J Ultrasound Med"},{"key":"2025082702272380000_15.9.e250584.7","first-page":"e11","article-title":"Semantics and pitfalls in the diagnosis of cornual\/interstitial pregnancy","volume":"2006","author":"Malinowski","year":"1764","journal-title":"Fertil Steril"},{"key":"2025082702272380000_15.9.e250584.8","unstructured":"Confidential Enquiry into Maternal and Child Health. . 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