Intramyometrial pregnancy after hysteroscopic resection of retained products of conception – a case report


Authors: Hlinecká K.;  Lisá Z.;  Richtárová A.;  Kužel D.
Authors place of work: Gynekologicko-porodnická klinika 1. LF UK a VFN v Praze
Published in the journal: Ceska Gynekol 2022; 87(1): 35-39
Category: Kazuistika
doi: 10.48095/cccg202235

Summary

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


Zdroje

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Štítky
Dětská gynekologie Gynekologie a porodnictví Reprodukční medicína

Článek vyšel v časopise

Česká gynekologie

Číslo 1

2022 Číslo 1

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