Document Detail

Subserosal pregnancy in a previous myomectomy site: a variant of intramural pregnancy.
MedLine Citation:
PMID:  16698534     Owner:  NLM     Status:  MEDLINE    
A 35-year-old woman with a history of myomectomy underwent in vitro fertilization and became pregnant. Transvaginal ultrasound revealed a gestational sac within the subserosal area of the posterior uterine wall. The patient was treated successfully with conservative surgery, and the pathologic evaluation of the excised mass demonstrated chorionic villi involving myometrium. Early in a subsequent pregnancy, placental invasion through the sinus tract was detected. However, the pregnancy outcome was uneventful. This constitutes the first report of subserosal implantation in the uterine body. Our findings suggest that the probable pathogenesis of this rare variant of intramural pregnancy is implantation through a sinus tract made during a previous uterine surgery.
Won I Park; Young-Mi Jeon; Jin-Yong Lee; So-Young Shin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  13     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2006 May-Jun
Date Detail:
Created Date:  2006-05-15     Completed Date:  2006-10-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  242-4     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Eulji University School of Medicine, Seoul, Korea.
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MeSH Terms
Gynecologic Surgical Procedures / adverse effects*
Infertility, Female / surgery
Leiomyoma / surgery
Pregnancy, Ectopic / etiology*,  pathology*,  surgery
Reproductive Techniques, Assisted / adverse effects*
Serous Membrane / pathology*
Uterine Neoplasms / surgery

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