Intramyometrial pregnancy after hysteroscopic resection of retained products of conception - a case report
Jazyk angličtina Země Česko Médium print
Typ dokumentu kazuistiky, časopisecké články
PubMed
35240834
DOI
10.48095/cccg202235
PII: 129771
Knihovny.cz E-zdroje
- Klíčová slova
- endometrial cancer, hysteroscopy, intramyometrial gravidity, retained products of conception,
- MeSH
- dospělí MeSH
- hysteroskopie metody MeSH
- laparoskopie * škodlivé účinky MeSH
- lidé MeSH
- mimoděložní těhotenství * diagnostické zobrazování chirurgie MeSH
- myometrium MeSH
- těhotenství MeSH
- ultrasonografie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
OBJECTIVE: The aim of this study is to report a case of intramyometrial gravidity after hysteroscopic resection of retained products of conception. CASE REPORT: We report the case of a 35-year old woman who presented at 7 weeks gestation with abdominal pain in the right iliac fossa, having had caesaren section 6 months ago. She underwent hysteroscopic resection of retained products of conception 6 weeks after casesarean section. The woman was submitted to two-and three-dimensional transvaginal ultrasound. Sonography revealed intramural ectopic pregnancy. Subsequently, we decided to perform a laparoscopic artery occlusion and removal of pregnancy with adequate multiple layer closure of the myometrial defect. CONCLUSION: Conservative laparoscopic surgery can be used successfully in patients with intramyometrial pregnancy. Even though the intramural pregnancy is a very rare type of ectopic pregnancy, it should be kept in mind by gynecologists because it can become a life-threatening condition. Early dia-gnosis helps to preserve future fertility.
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