Document Detail


Intramyometrial ectopic pregnancy in an ICSI patient following uterine artery embolization.
MedLine Citation:
PMID:  20382082     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Myometrial pregnancy represents a rare subtype of ectopic pregnancy. A history of uterine artery embolization (UAE) because of symptomatic uterine fibroids, and assisted reproductive treatment may predispose to this unusual implantation site. A 40-year-old woman with a history of uterine fibroids underwent a transfer of two embryos after intracytoplasmic sperm injection treatment. The combined findings on transvaginal ultrasound scan, pelvic magnetic resonance imaging scan, suction curettage, diagnostic hysteroscopy and laparoscopy were compatible with a diagnosis of ectopic pregnancy within the myometrium, at the site of a necrotized intramyometrial fibroid following UAE. Treatment with systemic methotrexate resulted in successful resolution of this ectopic pregnancy. In conclusion, this study reports a pregnancy within a previously necrotized fibroid. Findings suggest that in patients with a history of UAE for the treatment of uterine fibroids and who subsequently undergo assisted reproductive treatment, the risk of an ectopic pregnancy within the myometrium has to be considered.
Authors:
M Leyder; M De Vos; B Popovic-Todorovic; M Dujardin; P Devroey; H M Fatemi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-03-01
Journal Detail:
Title:  Reproductive biomedicine online     Volume:  20     ISSN:  1472-6491     ISO Abbreviation:  Reprod. Biomed. Online     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-01     Completed Date:  2010-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101122473     Medline TA:  Reprod Biomed Online     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  831-5     Citation Subset:  IM    
Copyright Information:
2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Centre for Reproductive Medicine, UZ Brussel, Laarbeeklaan 101, B-1090 Brussels, Belgium. MLeyder@uzbrussel.be
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Pregnancy
Pregnancy, Ectopic / pathology*,  ultrasonography
Sperm Injections, Intracytoplasmic*
Uterine Artery Embolization*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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