Commentary: Three-dimensional transvaginal ultrasound diagnosis of interstitial ectopic pregnancy in a unicornuate uterus: A case report

Yanhua Dong, Hezhou Li, Runwei Liang
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Abstract

A rare case of unicornuate uterus with interstitial ectopic pregnancy (IEP) was diagnosed using three-dimensional transvaginal ultrasound (3D-TVUS). The ultrasound revealed a "lancet-shaped" endometrial corona, a gestational sac near the uterus base extending towards the uterine serosa, and visible interstitial lines. The patient underwent laparoscopic surgery for a lesion in the right fallopian tube. 3D-TVUS was crucial in precisely locating the gestational sac, aiding in effective treatment. Interstitial ectopic pregnancies risk severe hemorrhaging upon rupture. Rapid, accurate diagnosis is vital for lifesaving treatment and preventing critical complications.
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评论:单角子宫间质异位妊娠的三维经阴道超声诊断:病例报告
通过三维经阴道超声(3D-TVUS)诊断出一例罕见的单角子宫伴间质异位妊娠(IEP)。超声检查显示子宫内膜冠呈 "柳叶刀状",靠近子宫底部的妊娠囊向子宫浆膜延伸,间质线清晰可见。患者因右侧输卵管病变接受了腹腔镜手术。3D-TVUS 对精确定位妊娠囊起到了关键作用,有助于有效治疗。间质异位妊娠一旦破裂,就有大出血的危险。快速、准确的诊断对于挽救生命的治疗和预防严重并发症至关重要。
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