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Total laparoscopic conservative surgery for an intramural ectopic pregnancy.

Nabeshima H, Nishimoto M, Utsunomiya H, Arai M, Ugajin T, Terada Y, Yaegashi N - Diagn Ther Endosc (2010)

Bottom Line: Pathologic evaluation of the excised mass demonstrated chorionic villi involving the myometrium.In the literature, only one other case describing the laparoscopic removal of an intramural pregnancy has been reported.However, in the prior report, the patient still required hysterectomy after conservative surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Iwate Prefectural Iwai Hospital, Kozenji, Ichinoseki-city, 029-0192, Japan.

ABSTRACT
A 38-year-old woman, gravida 3, para 1 with a history of a left salpingectomy for an ectopic pregnancy was admitted for treatment of a presumed ectopic pregnancy. Transvaginal sonography revealed an ill-defined gestational sac and fetal heart beat within the fundal myometrium adjacent to the left cornua. Laparoscopy was performed for a suspected left cornual pregnancy or intramural pregnancy. A cystic mass 3 cm in diameter was visible within the fundal myometrium. Total laparoscopic removal of the gestational sac was performed, and the uterus was preserved. Pathologic evaluation of the excised mass demonstrated chorionic villi involving the myometrium. In the literature, only one other case describing the laparoscopic removal of an intramural pregnancy has been reported. However, in the prior report, the patient still required hysterectomy after conservative surgery. Therefore, this is the first report of the successful treatment of an intramural pregnancy exclusively with laparoscopy.

No MeSH data available.


Related in: MedlinePlus

GS: gestation sac, TUBE: residual left fallopian tube. The GS was separate from residual left tube.
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Related In: Results  -  Collection


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fig2: GS: gestation sac, TUBE: residual left fallopian tube. The GS was separate from residual left tube.

Mentions: Laparoscopic surgery was performed with a four-port technique and carbon dioxide (CO2) pneumoperitoneum. Laparoscopic findings in the pelvic cavity were a uterus the size of eight-week gestation with a cystic mass 3 cm in diameter visible in the left fundal myometrium. This cyst was distinct from the residual left fallopian tube (Figure 2). The bilateral ovaries and right tube appeared normal.


Total laparoscopic conservative surgery for an intramural ectopic pregnancy.

Nabeshima H, Nishimoto M, Utsunomiya H, Arai M, Ugajin T, Terada Y, Yaegashi N - Diagn Ther Endosc (2010)

GS: gestation sac, TUBE: residual left fallopian tube. The GS was separate from residual left tube.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2963121&req=5

fig2: GS: gestation sac, TUBE: residual left fallopian tube. The GS was separate from residual left tube.
Mentions: Laparoscopic surgery was performed with a four-port technique and carbon dioxide (CO2) pneumoperitoneum. Laparoscopic findings in the pelvic cavity were a uterus the size of eight-week gestation with a cystic mass 3 cm in diameter visible in the left fundal myometrium. This cyst was distinct from the residual left fallopian tube (Figure 2). The bilateral ovaries and right tube appeared normal.

Bottom Line: Pathologic evaluation of the excised mass demonstrated chorionic villi involving the myometrium.In the literature, only one other case describing the laparoscopic removal of an intramural pregnancy has been reported.However, in the prior report, the patient still required hysterectomy after conservative surgery.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Iwate Prefectural Iwai Hospital, Kozenji, Ichinoseki-city, 029-0192, Japan.

ABSTRACT
A 38-year-old woman, gravida 3, para 1 with a history of a left salpingectomy for an ectopic pregnancy was admitted for treatment of a presumed ectopic pregnancy. Transvaginal sonography revealed an ill-defined gestational sac and fetal heart beat within the fundal myometrium adjacent to the left cornua. Laparoscopy was performed for a suspected left cornual pregnancy or intramural pregnancy. A cystic mass 3 cm in diameter was visible within the fundal myometrium. Total laparoscopic removal of the gestational sac was performed, and the uterus was preserved. Pathologic evaluation of the excised mass demonstrated chorionic villi involving the myometrium. In the literature, only one other case describing the laparoscopic removal of an intramural pregnancy has been reported. However, in the prior report, the patient still required hysterectomy after conservative surgery. Therefore, this is the first report of the successful treatment of an intramural pregnancy exclusively with laparoscopy.

No MeSH data available.


Related in: MedlinePlus