Intramural ectopic pregnancy

Abstract

Gestational trophoblastic neoplasia refers to a subset of gestational trophoblastic conditions characterized with persistently elevated serum β-human chorionic gonadotropin, absence of a normal pregnancy, and a history of normal or abnormal pregnancies. We described a case of suspected ectopic molar pregnancy in a primiparous woman who had elevated β-human chorionic gonadotropin and required chemotherapy to achieve remission. Final histopathological finding was ectopic pregnancy; no gestational trophoblastic neoplasia was found. This case stresses the importance of histopathological analysis in diagnosis of gestational trophoblastic neoplasia when ectopic pregnancy is present, considering that histopathological analysis is less sensitive for gestational trophoblastic neoplasia than for ectopic pregnancy

Intramural pregnancy: a diagnostic dilemma for an obstetrician

“…This was how the diagnosis was established in most of the cases reported in the literature. [4][5][6][7][8] If the diagnosis is made early before rupture, expectant or conservative management may be considered to preserve the patient's fertility. Conservative treatments reported in the literature include; surgical enucleation, injection of potassium chloride or methotrexate into the gestational sac, systemic methotrexate injection and uterine evacuation.…”

“…1,4,5,[8][9][10] CONCLUSIONIntramural ectopic pregnancy, if not diagnosed early, is commonly complicated by uterine rupture, massive hemoperitoneum, hypovolemic shock and fetal wastage. Hysterectomy is often avoidable.…”

Ectopic Mural Pregnancy

“…Однако, со-гласно анализу опубликованных клинических слу-чаев, в большинстве случаев IMEP выполнялось хирургическое лечение лапаротомическим досту-пом, часто выполнялась гистерэктомия, посколь-ку у многих пациенток имел место разрыв матки с профузным кровотечением [10]. В последние годы описаны лапароскопические органосохраня-ющие методики лечения IMEP [18][19][20], а также ги-стерорезектоскопическая техника [11,21]. Ранняя диагностика IEMP позволяет повысить прогноз для сохранения фертильности [11,15,18,19,22] (табл.3).…”