Subserosal pregnancy in a previous myomectomy site: A variant of intramural pregnancy

Park, Won I.; Jeon, Young-Mi; Lee, Jin‐Yong; Shin, Soyoung

doi:10.1016/j.jmig.2006.01.013

Cited by 30 publications

(25 citation statements)

References 9 publications

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“…Similar to the first case [9], there was previous history of myomectomy. However, it is the first case of subserosal intramural ectopic pregnancy in a subserosal adenomyotic area.…”

Section: Discussionsupporting

confidence: 53%

“…The huge fundal bulge of the ectopic mass, as confirmed by laparoscopy, indicated a subserosal intramural location which has been reported only once before [9]. Such deep intramuscular implantation was confirmed histopathologically and might have gone through a sinus tract created during a previous myomectomy [9].…”

Section: Discussionmentioning

confidence: 63%

“…However, in cases of intramural pregnancies, the thickness of the myometrium around the sac depends on the degree of invasion by the ectopic trophoblasts. The single published case of subserosal intramural ectopic pregnancy [9] is a good example because of such deep implantation. Irrespective of all efforts, it might not be possible to differentiate between intramural and interstitial/cornual pregnancies.…”

Section: Introductionmentioning

confidence: 99%

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Subserosal intramural ectopic pregnancy in an adenomyotic area following assisted reproduction treatment

Abdel-Gadir¹,

Shah

Oyawoye

et al. 2009

Gynecol Surg

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A 38-year-old woman presented for early pregnancy ultrasound scanning 6 weeks and 4 days following an assisted reproduction treatment cycle. She had ß human chorionic gonadotrophin (ßhCG) blood level of 10,853 IU/L 2 weeks before presentation. She gave previous history of termination of pregnancy, myomectomy and bilateral salpingectomy. The uterus was retroverted with multiple fibroids and non-homogenous myometrium in many areas. The endometrium was 21.1 mm thick with no intrauterine pregnancy. An initial diagnosis of cornual/interstitial ectopic pregnancy was made. However, 3D images rendering and the multiplanar technique showed a 27.5-mm gestation sac, medial and above the interstitial part of the right tube, with 7.6-mm-long foetal pole. ßhCG and progesterone blood levels on the same day were 19,551 IU/L and 43.2 nmol/l, respectively. The patient opted against methotrexate treatment. An ectopic pregnancy bulging out of the fundal area was excised laparoscopically. Histopathological assessment showed chorionic villi surrounded by myometrium, as well as foci of adenomyosis, reaching the outer serosa. To our knowledge, this is the second case of subserosal intramural ectopic pregnancy to be reported and the first in a subserosal area of adenomyosis.

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“…Similar to the first case [9], there was previous history of myomectomy. However, it is the first case of subserosal intramural ectopic pregnancy in a subserosal adenomyotic area.…”

Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Subserosal intramural ectopic pregnancy in an adenomyotic area following assisted reproduction treatment

Abdel-Gadir¹,

Shah

Oyawoye

et al. 2009

Gynecol Surg

View full text Add to dashboard Cite

show abstract

“…Although many theories for explaining its occurrence have been postulated, the most accepted is that the blastocyst enters into the myometrium through a microscopic dehiscent tract. This may be created through the trauma of a previous caesarean section or from any other uterine surgery, such as a myomectomy [3], or following manual removal of the placenta [4].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of an ectopic pregnancy within a previous caesarean section scar

2006

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Ectopic pregnancy situated in a caesarean section scar is a rare but potentially life-threatening event. Because of its rarity there are no universal guidelines to manage this condition. We report a case of laparoscopic management of an ectopic pregnancy in a previous caesarean section scar. Laparoscopy enabled the successful treatment of an ectopic pregnancy, avoided unnecessary laparotomy and made it possible to preserve the patient's reproductive capability. We discuss the management options and review the literature.

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“…Uterine traumas result in a sinus tract within the endometrium, which may be the result of cesarean section, myomectomy [3], dilation and curettage [4,5], and trauma during hysteroscopy [6].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Management of Interstitial Ectopic Using Simple and Safe Technique: Case Series and Review of Literature

Said

2016

J Obstet Gynecol India

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Background and Objective To determine the safety and sustainability of operative laparoscopy in surgical management of cornual and interstitial ectopic pregnancy using a simple and practical method. Design Case series of five consecutive cases.Setting Endoscopy unit in Alexandria University Hospital and Alexandria New Medical Center. Patients Between July 2013 and May 2015, five women with interstitial and cornual ectopic pregnancies were admitted for laparoscopic surgical treatment. Methods Full medical and surgical histories were taken. We explained all alternatives for both partners before informed. Patients underwent laparoscopy for management of the corneal ectopic. All surgeries were done by the same surgeon (T.S.) with different assistants. We gave different uterotonics drugs to devascularize the uterus. Two or more devascularization sutures were done on each end of the corneal ectopic. We used monopolar and bipolar electrocoagulation when indicated. We did linear cut of the interstitial ectopic with evacuation of the fetus and placental tissues. Extraction of the conceptus was performed through 10 mm port. Follow-up of the beta-hCG was done weekly till negative results were obtained.

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Subserosal pregnancy in a previous myomectomy site: A variant of intramural pregnancy

Cited by 30 publications

References 9 publications

Subserosal intramural ectopic pregnancy in an adenomyotic area following assisted reproduction treatment

Subserosal intramural ectopic pregnancy in an adenomyotic area following assisted reproduction treatment

Laparoscopic management of an ectopic pregnancy within a previous caesarean section scar

Laparoscopic Management of Interstitial Ectopic Using Simple and Safe Technique: Case Series and Review of Literature

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