Document Detail

Case of chronic ectopic pregnancy diagnosed in which the complete shape of the fetus was visible by ultrasonography.
MedLine Citation:
PMID:  20492409     Owner:  NLM     Status:  MEDLINE    
Preoperative diagnosis of chronic ectopic pregnancy is often difficult because of the high incidence of negative results on pregnancy tests as a consequence of the very small amount of live villi, subtle symptoms, and the poor specificity of ultrasonographic patterns. A 45-year-old woman was referred to our department for evaluation of a mass 8 cm in diameter with solid parts in the right adnexal area. Transvaginal ultrasonography showed a mass consisting of a cystic part with an irregular thick capsule distinct from the right ovary. In the center of the cystic part, a fetus-like image, 20 mm in length was seen. Preoperative diagnosis was confirmed by the laparoscopy, which revealed a swollen right tube containing a fetus with highly necrotic changes. This case was unique because chronic ectopic pregnancy was detected at an early stage before absorption of the conceptus occurred, which coincidentally is an appropriate time for morphological diagnosis.
Miyuki Harada; Hisahiko Hiroi; Toshihiro Fujiwara; Akihisa Fujimoto; Akihiko Kikuchi; Yutaka Osuga; Mikio Momoeda; Koji Kugu; Tetsu Yano; Yuji Taketani
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  36     ISSN:  1447-0756     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-05-24     Completed Date:  2010-08-20     Revised Date:  2012-01-19    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  462-5     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
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MeSH Terms
Middle Aged
Pelvic Pain / surgery,  ultrasonography*
Pregnancy, Ectopic / surgery,  ultrasonography*
Ultrasonography, Prenatal

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