A Case of Live Birth after Uterine Reconstruction for Recurrent Cornual Ectopic Pregnancy following IVF Treatment
Joint Authors
Maruthini, Deivanayagam
Sharma, Vinay
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-02-12
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
We present a case of recurrent ruptured right cornual ectopic pregnancies conceived after IVF.
Following the second episode, a sonohysterography was undertaken to identify possible areas of scar weakness that may rupture with uterine distension in a future pregnancy.
The scan revealed asymmetrical muscle thickness in the cornual regions, the right (6 mm) being thinner than the left (1.6 cm).
Subsequently, an elective laparotomy was undertaken, and the cornua were reconstructed and thickened in several layers by bringing the laterally retracted myometrial fibres onto the reconstruction site.
A sono-hysterography after surgery showed satisfactory (3-4 cm) myometrial thickness all around.
A further cycle of IVF resulted in a singleton pregnancy.
Pelvic scans confirmed normal intrauterine pregnancy without any myometrial thinning.
She was delivered by an uneventful elective caesarean section at term.
We propose that, in those who intend to have further pregnancies after a cornual ectopic pregnancy, a sono-hysterography is possibly the best investigative tool to assess myometrial integrity.
This case demonstrates that in women with areas of muscle weakness it is possible to successfully perform an interval elective reconstructive surgery on the uterus that can result in an uneventful pregnancy and birth.
American Psychological Association (APA)
Maruthini, Deivanayagam& Sharma, Vinay. 2013. A Case of Live Birth after Uterine Reconstruction for Recurrent Cornual Ectopic Pregnancy following IVF Treatment. Case Reports in Obstetrics and Gynecology،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-486117
Modern Language Association (MLA)
Maruthini, Deivanayagam& Sharma, Vinay. A Case of Live Birth after Uterine Reconstruction for Recurrent Cornual Ectopic Pregnancy following IVF Treatment. Case Reports in Obstetrics and Gynecology No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-486117
American Medical Association (AMA)
Maruthini, Deivanayagam& Sharma, Vinay. A Case of Live Birth after Uterine Reconstruction for Recurrent Cornual Ectopic Pregnancy following IVF Treatment. Case Reports in Obstetrics and Gynecology. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-486117
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486117