From intramural ectopic pregnancy to hysterectomy: A case report

IF 0.7 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Women's Health Pub Date : 2024-03-01 DOI:10.1016/j.crwh.2024.e00600

Rhys Harris , Wasim Awal , Sebastian Jacob-Rogers , Graeme Walker

{"title":"From intramural ectopic pregnancy to hysterectomy: A case report","authors":"Rhys Harris , Wasim Awal , Sebastian Jacob-Rogers , Graeme Walker","doi":"10.1016/j.crwh.2024.e00600","DOIUrl":null,"url":null,"abstract":"<div><p>An intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy, and due to the scarcity of reported cases there are no clear guidelines regarding diagnosis and management of the condition. We report a case of a non-viable intramural ectopic pregnancy managed with intravenous methotrexate, in a patient with no previous pregnancies but a history of uterine cornual cyst excision. The patient subsequently developed a uterine arteriovenous malformation, which was embolised. Following this, she had two pregnancies, one culminating in an elective caesarean section at term, and the other a medical termination of pregnancy at 19 weeks of gestation. As a result of post-traumatic stress disorder attributed to this complicated history, the patient requested a hysterectomy. This case demonstrates the complexity of the management of intramural ectopic pregnancy and highlights the impacts the condition can have on a patient's physical and mental health.</p></div>","PeriodicalId":9657,"journal":{"name":"Case Reports in Women's Health","volume":"41 ","pages":"Article e00600"},"PeriodicalIF":0.7000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214911224000213/pdfft?md5=704585abcbe60caa89f96533f3733166&pid=1-s2.0-S2214911224000213-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Case Reports in Women's Health","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214911224000213","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

An intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy, and due to the scarcity of reported cases there are no clear guidelines regarding diagnosis and management of the condition. We report a case of a non-viable intramural ectopic pregnancy managed with intravenous methotrexate, in a patient with no previous pregnancies but a history of uterine cornual cyst excision. The patient subsequently developed a uterine arteriovenous malformation, which was embolised. Following this, she had two pregnancies, one culminating in an elective caesarean section at term, and the other a medical termination of pregnancy at 19 weeks of gestation. As a result of post-traumatic stress disorder attributed to this complicated history, the patient requested a hysterectomy. This case demonstrates the complexity of the management of intramural ectopic pregnancy and highlights the impacts the condition can have on a patient's physical and mental health.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

从子宫内异位妊娠到子宫切除术：病例报告

壁内异位妊娠是异位妊娠中最罕见的类型之一，由于报道的病例很少，目前还没有明确的诊断和处理指南。我们报告了一例经静脉注射甲氨蝶呤治疗后未存活的壁内异位妊娠病例，患者既往未曾怀孕，但有子宫粟粒状囊肿切除术史。患者随后出现子宫动静脉畸形，并进行了栓塞治疗。此后，她经历了两次妊娠，一次是在足月时选择剖腹产，另一次是在妊娠 19 周时医学终止妊娠。由于这一复杂病史导致的创伤后应激障碍，患者要求切除子宫。本病例显示了处理腹腔内异位妊娠的复杂性，并强调了该病症对患者身心健康的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊