Document Detail


Total laparoscopic conservative surgery for an intramural ectopic pregnancy.
MedLine Citation:
PMID:  20981282     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A 38-year-old woman, gravida 3, para 1 with a history of a left salpingectomy for an ectopic pregnancy was admitted for treatment of a presumed ectopic pregnancy. Transvaginal sonography revealed an ill-defined gestational sac and fetal heart beat within the fundal myometrium adjacent to the left cornua. Laparoscopy was performed for a suspected left cornual pregnancy or intramural pregnancy. A cystic mass 3 cm in diameter was visible within the fundal myometrium. Total laparoscopic removal of the gestational sac was performed, and the uterus was preserved. Pathologic evaluation of the excised mass demonstrated chorionic villi involving the myometrium. In the literature, only one other case describing the laparoscopic removal of an intramural pregnancy has been reported. However, in the prior report, the patient still required hysterectomy after conservative surgery. Therefore, this is the first report of the successful treatment of an intramural pregnancy exclusively with laparoscopy.
Authors:
Hiroshi Nabeshima; Mitsuo Nishimoto; Hiroki Utsunomiya; Maiko Arai; Tomohisa Ugajin; Yukihiro Terada; Nobuo Yaegashi
Publication Detail:
Type:  Journal Article     Date:  2010-10-11
Journal Detail:
Title:  Diagnostic and therapeutic endoscopy     Volume:  2010     ISSN:  1029-0516     ISO Abbreviation:  Diagn Ther Endosc     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502019     Medline TA:  Diagn Ther Endosc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  504062     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynecology, Iwate Prefectural Iwai Hospital, Kozenji, Ichinoseki-city, 029-0192, Japan.
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