Perforating Scar of Intrauterine Device with Subsequent Intramural Pregnancy and Uterine Rupture

You, Shu-Han; Chen, Po‐Cheng; Chueh, Ho-Yen; Huang, Ko-En; Wang, Hsin-Shih; Yen, Chih-Feng

doi:10.1016/j.jmig.2018.08.028

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…Mellouli and colleagues [58] reported a case of IMP following salpingectomy without providing more information on the possibility of a connection. Similarly, You and colleagues [33] reported a case of IMP implanted on a scar where the uterus was previously perforated by a dislodged intrauterine device (IUD).…”

Section: Discussionmentioning

confidence: 98%

Intramural ectopic pregnancy: An individual patient data systematic review

Ntafam,

Sanusi-Musa,

Harris

2024

European Journal of Obstetrics & Gynecology and Reproductiv

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Section: Discussionmentioning

confidence: 98%

Intramural ectopic pregnancy: An individual patient data systematic review

Ntafam,

Sanusi-Musa,

Harris

2024

European Journal of Obstetrics & Gynecology and Reproductiv

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“…In our review, the age of patients ranged from 19 to 41-years-old. Except for seven patients, approximately three quarters (77.8%) had a history of uterine trauma [1][2][3][4][5][7][8][9][10][11], including artificial abortion (33.3%), cesarean section (21.4%) and myomectomy (14.3%). One cases (5.6%) experienced intrauterine device (IUD) placement, and two (11.1%) were the result evaluated relatively more effective unless the β-HCG indicates an extraordinarily low concentration [11].…”

Section: Discussionmentioning

confidence: 99%

Intramural Pregnancy Misdiagnosed as Gestational Trophoblastic Neoplasia: Case Report and Review of the Literature

Zang¹,

Hu²

2021

Obstet Gynecol Cases Rev

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Purpose: To date, only a few cases of intramural pregnancy have been recorded. We aim to report an uncommon case of intramural pregnancy misdiagnosed as gestational trophoblastic neoplasia, emphasizing that earlier surgical intervention may contribute to timely diagnosis and precise treatment.Methods: Relevant articles published over the past five years were identified through a literature searching, and related references in those literatures were also manually searched to find additional articles.Results: Nineteen cases in total including this report were reviewed. Most patients possessed a history of intrauterine operation or uterine surgery. Diagnoses were mainly made by imageological examinations. And surgical procedure tended to be the dominant treatment of such diseases. Conclusions:Intramural pregnancy is considered to be the rarest type of ectopic gestation, where the gestational sac is completely encircled by myometrium. The non-specific clinical manifestations and non-uniform imageological criteria lead to the difficult diagnoses. However, earlier surgical management may contribute to timely diagnosis and precise treatment.

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“…The main symptoms of IMP are menopause, mild vaginal bleeding, abdominal pain and increasing of serum β-hCG [5], however, they are seldom specific in early, which make IMP is too difficult to diagnose. Numerous patients are not diagnosed IMP until uterine rupture [6]. Thus, early diagnosis and monitoring are the key to prevent complications.…”

Section: Discussion/conclusionmentioning

confidence: 99%

"Lession Inconsistent with Serum β-hCG for Intramural Pregnancy Monitoring"

Tang

2021

BJSTR

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Introduction: Intramural pregnancy (IMP) is a rare type of ectopic pregnancy. At present, the role of serum β-hCG and imaging, including transvaginal ultrasound (TVS) and magnetic resonance (MR) imaging in monitoring IMP has not been elaborated. Case Presentation: We present a case of a 34-year-old female patient whose serum β-hCG level had a steady decline later without intervention, however, the lesion in TVS keep growing. A 40mm diameter mass was detected by TVS and 3-D MR reconstructions confirmed the diagnosis of intramural pregnancy. Local mass resection by laparoscopy was performed and postoperative histopathology also confirmed it. Discussion/Conclusion: Our observation nicely illustrates serum β-hCG level should combined with image for suspected intramural pregnancy monitoring.

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Perforating Scar of Intrauterine Device with Subsequent Intramural Pregnancy and Uterine Rupture

Cited by 5 publications

References 3 publications

Intramural ectopic pregnancy: An individual patient data systematic review

Intramural ectopic pregnancy: An individual patient data systematic review

Intramural Pregnancy Misdiagnosed as Gestational Trophoblastic Neoplasia: Case Report and Review of the Literature

"Lession Inconsistent with Serum β-hCG for Intramural Pregnancy Monitoring"

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