| Intramyometrial ectopic pregnancy in an ICSI patient following uterine artery embolization. | |
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MedLine Citation:
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PMID: 20382082 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M Leyder; M De Vos; B Popovic-Todorovic; M Dujardin; P Devroey; H M Fatemi |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-03-01 |
Journal Detail:
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Title: Reproductive biomedicine online Volume: 20 ISSN: 1472-6491 ISO Abbreviation: Reprod. Biomed. Online Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-01 Completed Date: 2010-12-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101122473 Medline TA: Reprod Biomed Online Country: Netherlands |
Other Details:
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Languages: eng Pagination: 831-5 Citation Subset: IM |
Copyright Information:
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2010 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Centre for Reproductive Medicine, UZ Brussel, Laarbeeklaan 101, B-1090 Brussels, Belgium. MLeyder@uzbrussel.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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