Intramyometrial pregnancy after hysteroscopic resection of retained products of conception – a case report
Authors:
K. Hlinecká; Z. Lisá; A. Richtárová; D. Kužel
Authors‘ workplace:
Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze
Published in:
Ceska Gynekol 2022; 87(1): 35-39
Category:
Case Report
doi:
https://doi.org/10.48095/cccg202235
Overview
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 diagnosis helps to preserve future fertility.
Keywords:
hysteroscopy – intramyometrial gravidity – retained products of conception
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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
2022 Issue 1
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