Diagnosis and management of intramural ectopic pregnancy
Background: Intramural pregnancy is a rare form of ectopic pregnancy where the embryo is implanted within the myometrium, separate from the endometrial cavity. Preoperative diagnosis of intramural pregnancy is difficult and it can easily be misdiagnosed for other diseases such as intrauterine pregna...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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IMR Press
2021-08-01
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| Series: | Clinical and Experimental Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804154 |
| _version_ | 1818205781436137472 |
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| author | Qian Hu Mohammed Sharooq Paramboor Tao Guo |
| author_facet | Qian Hu Mohammed Sharooq Paramboor Tao Guo |
| author_sort | Qian Hu |
| collection | DOAJ |
| description | Background: Intramural pregnancy is a rare form of ectopic pregnancy where the embryo is implanted within the myometrium, separate from the endometrial cavity. Preoperative diagnosis of intramural pregnancy is difficult and it can easily be misdiagnosed for other diseases such as intrauterine pregnancy or gestational trophoblastic disease. Medical therapy and surgery are used to treat intramural pregnancy, with surgery often being performed via laparotomy and also including hysterectomy. Case: We present a case of intramural pregnancy that was misdiagnosed and wrongly managed by a local hospital. It was finally diagnosed correctly and managed in our hospital by combining hysteroscopy and laparoscopy under the guidance of intra-abdominal ultrasound. Our experience again highlights the difficulty in diagnosing intramural pregnancy preoperatively due to the lack of standard diagnostic criteria. This can in turn lead to inappropriate treatments. Earlier surgical intervention would allow faster diagnosis and also simultaneous treatment of the disease. The majority of intramural ectopic pregnancies have high blood flow that can cause severe hemorrhage and are therefore treated by medication or laparotomy and hysterectomy. Conclusion: Our experience reveals that a minimally invasive procedure is also safe and effective in select cases where advanced endoscopic expertise is available. |
| first_indexed | 2024-12-12T04:02:35Z |
| format | Article |
| id | doaj.art-fa2d1253d3bb4057b618e73a8c416dc0 |
| institution | Directory Open Access Journal |
| issn | 0390-6663 |
| language | English |
| last_indexed | 2024-12-12T04:02:35Z |
| publishDate | 2021-08-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Clinical and Experimental Obstetrics & Gynecology |
| spelling | doaj.art-fa2d1253d3bb4057b618e73a8c416dc02022-12-22T00:38:58ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632021-08-0148497497910.31083/j.ceog4804154S0390-6663(21)00172-XDiagnosis and management of intramural ectopic pregnancyQian Hu0Mohammed Sharooq Paramboor1Tao Guo2Laboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Department of Pediatrics, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaWest China Medical School, Sichuan University, 610041 Chengdu, Sichuan, ChinaLaboratory of Molecular Translational Medicine, Center for Translational Medicine, Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Department of Pediatrics, West China Second University Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaBackground: Intramural pregnancy is a rare form of ectopic pregnancy where the embryo is implanted within the myometrium, separate from the endometrial cavity. Preoperative diagnosis of intramural pregnancy is difficult and it can easily be misdiagnosed for other diseases such as intrauterine pregnancy or gestational trophoblastic disease. Medical therapy and surgery are used to treat intramural pregnancy, with surgery often being performed via laparotomy and also including hysterectomy. Case: We present a case of intramural pregnancy that was misdiagnosed and wrongly managed by a local hospital. It was finally diagnosed correctly and managed in our hospital by combining hysteroscopy and laparoscopy under the guidance of intra-abdominal ultrasound. Our experience again highlights the difficulty in diagnosing intramural pregnancy preoperatively due to the lack of standard diagnostic criteria. This can in turn lead to inappropriate treatments. Earlier surgical intervention would allow faster diagnosis and also simultaneous treatment of the disease. The majority of intramural ectopic pregnancies have high blood flow that can cause severe hemorrhage and are therefore treated by medication or laparotomy and hysterectomy. Conclusion: Our experience reveals that a minimally invasive procedure is also safe and effective in select cases where advanced endoscopic expertise is available.https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804154intramural ectopic pregnancyminimally invasive surgerydiagnosis and management |
| spellingShingle | Qian Hu Mohammed Sharooq Paramboor Tao Guo Diagnosis and management of intramural ectopic pregnancy Clinical and Experimental Obstetrics & Gynecology intramural ectopic pregnancy minimally invasive surgery diagnosis and management |
| title | Diagnosis and management of intramural ectopic pregnancy |
| title_full | Diagnosis and management of intramural ectopic pregnancy |
| title_fullStr | Diagnosis and management of intramural ectopic pregnancy |
| title_full_unstemmed | Diagnosis and management of intramural ectopic pregnancy |
| title_short | Diagnosis and management of intramural ectopic pregnancy |
| title_sort | diagnosis and management of intramural ectopic pregnancy |
| topic | intramural ectopic pregnancy minimally invasive surgery diagnosis and management |
| url | https://www.imrpress.com/journal/CEOG/48/4/10.31083/j.ceog4804154 |
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