Term angular pregnancy: Successful expectant management

Alves, Júlio Augusto Gurgel; Alves, Nádia Gurgel; Júnior, Carlos Augusto Alencar; Feitosa, Francisco Edson Lucena; Costa, Fabrício da Silva

doi:10.1111/j.1447-0756.2010.01405.x

Cited by 24 publications

(30 citation statements)

References 12 publications

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“…Though it is actually an intrauterine pregnancy, angular pregnancy is a potentially dangerous condition associated with uterine rupture, often in the second trimester [12]. The clinical course of an angular pregnancy is very variable with some full term pregnancies and many spontaneous miscarriages [11–13]. …”

Section: Discussionmentioning

confidence: 99%

Misdiagnosed Uterine Rupture of an Advanced Cornual Pregnancy

Sant

Andersen

2012

Case Reports in Radiology

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Cornual pregnancy is a diagnostic and therapeutic challenge with potential severe consequences if uterine rupture occurs with following massive intraabdominal bleeding. We report a case of a misdiagnosed ruptured cornual pregnancy occurring at 21 weeks of gestation. Ultrasound examination and computer tomography revealed no sign of abnormal pregnancy. The correct diagnosis was first made at emergency laparotomy. Uterine rupture should be considered in pregnant women presenting with abdominal pain and haemodynamic instability.

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Section: Discussionmentioning

confidence: 99%

Misdiagnosed Uterine Rupture of an Advanced Cornual Pregnancy

Sant

Andersen

2012

Case Reports in Radiology

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“…The myometrium is expected to be thicker at all sides of the sac in an angular pregnancy; however, myometrium less than 5 mm surrounds the interstitial gestational sac. Magnetic resonance imaging also proved to be helpful in these cases 6. No myometrium was seen on ultrasound images in Case 1 and 2 (Fig.1 and 2).…”

Section: Discussionmentioning

confidence: 85%

Management options for interstitial ectopic pregnancies: A case series

et al. 2017

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Objective:Ectopic pregnancy in the interstitial part of the Fallopian tubes can be life-threatining considering the thin myometrial tissue surrounding the gestational sac and highly vascularization which may result in catastrophic haemorrhage when interstitium is ruptured. The diagnosis and management is challenging. Conservative, medical, and surgical treatment options should be considered based on individual patient factors.Methods:Four women were diagnosed with interstitial pregnancy in last five years in our tertiary center. Four different treatment modalities, including single dose methotrexate, laparotomy, hysteroscopy followed by vacuum aspiration, and vacuum aspiration under laparoscopy were performed according to patients’ characteristics.Results:. Successful outcome was achieved in all patients.Conclusion:Interstitial pregnancy can be successfully treated with a single dose systemic methotrexate when all criteria are met. The classical cornual wedge resection remains lifesaving operation for cases of ruptured interstitial pregnancy. Less invasive procedures such as laparoscopic assisted transcervical vacuum aspiration and diagnostic hysteroscopy followed by vacuum aspiration can be performed in selected cases.

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“…Angular pregnancy refers to a viable intrauterine pregnancy that is implanted in one of the lateral angles of the uterine cavity, medial to the uterotubal junction 1 , 13 . Full‐term delivery is likely as the gestational sac descends into the uterine cavity 13 , 14 . However, several complications have been previously described.…”

Section: Discussionmentioning

confidence: 99%

“…1,13 Full-term delivery is likely as the gestational sac descends into the uterine cavity. 13,14 However, several complications have been previously described. Angular pregnancies end in abortion in 38.5% of patients, 13 and 23% of cases are associated with uterine rupture.…”

Section: Discussionmentioning

confidence: 99%

Three‐Dimensional Sonography in the Differential Diagnosis of Interstitial, Angular, and Intrauterine Pregnancies in a Septate Uterus

Tanaka

Mimura

Kanagawa

et al. 2014

J of Ultrasound Medicine

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Interstitial, angular, and cornual pregnancies and intrauterine pregnancies in an anomalous uterus are separate entities, and the impact of each condition on obstetric outcomes is completely different. However, there is considerable confusion in understanding and managing the natural course of each condition due to a lack of uniform terminology. The single most important factor for differentiating these types of pregnancies is to make an early diagnosis. The differences between interstitial, angular, and cornual pregnancies on 2-dimensional (2D) sonography are subtle. Although magnetic resonance imaging can be used to differentiate these conditions, it is not preferred as the initial assessment tool because of its limited availability and cost-effectiveness. Three-dimensional (3D) sonography has the advantage of providing views of the uterus that cannot be obtained with conventional 2D sonography. We describe 3 cases of interstitial, angular, and intrauterine pregnancies in a septate uterus that were clearly differentiated by 3D sonography. We demonstrate the differences in diagnostic imaging findings and emphasize the importance of 3D sonography in differentiating these entities.

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Term angular pregnancy: Successful expectant management

Cited by 24 publications

References 12 publications

Misdiagnosed Uterine Rupture of an Advanced Cornual Pregnancy

Misdiagnosed Uterine Rupture of an Advanced Cornual Pregnancy

Management options for interstitial ectopic pregnancies: A case series

Three‐Dimensional Sonography in the Differential Diagnosis of Interstitial, Angular, and Intrauterine Pregnancies in a Septate Uterus

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