Diagnosis and Management of an Intramyometrial Ectopic Pregnancy Within a Septate Uterus.
| Autor: | Gilmore E; Department of Obstetrics and Gynecology and the Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania., Gutman S, Kim HT, Roe AH |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Obstetrics and gynecology [Obstet Gynecol] 2023 Nov 01; Vol. 142 (5), pp. 1244-1247. Date of Electronic Publication: 2023 Aug 10. |
| DOI: | 10.1097/AOG.0000000000005312 |
| Abstrakt: | Background: An intramyometrial pregnancy is a rare form of ectopic pregnancy, making up an estimated 1% of all ectopic pregnancies. Previously described management options have included surgical excision in the emergency setting. Case: A 32-year-old woman, gravida 4 para 0, at 6 0/7 weeks of gestation by last menstrual period, was noted to have a gestational sac implanted entirely within the uterine myometrium. Ultrasonography and magnetic resonance imaging confirmed the presence of an intramyometrial ectopic pregnancy within a septate uterus. The patient's abnormal pregnancy was successfully treated with multidose methotrexate. Conclusion: Intramyometrial pregnancy is a rare entity that should be considered when it is suggested by ultrasonography or if an intrauterine pregnancy is surgically inaccessible from the endometrial cavity. In a stable patient, multidose systemic methotrexate may be a feasible management strategy. Competing Interests: Financial Disclosure The authors did not report any potential conflicts of interest. (Copyright © 2023 by the American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
| Externí odkaz: |
|