Abstract
Video Objective Demonstrate the performance of hysteroscopy in a pregnant patient, which is a challenging but feasible situation in experienced hands. Setting patient underwent implantation of an intrauterine device for contraception, but it evolved with amenorrhea and diagnosis of gestation during the course of the 12th week. The patient chose to remove the device, even though it was oriented for the related risks. Interventions the patient was sedated and submitted to ambulatorial hysteroscopy using the Bettocchi set and performed removal of the intrauterine device by seizing forceps. After the procedure, ultrasound was performed with verification of preserved fetal vitality, and gestation progressed normally, with subsequent delivery to term. Conclusion In exceptional situations it is possible to perform hysteroscopy in a pregnant patient. Demonstrate the performance of hysteroscopy in a pregnant patient, which is a challenging but feasible situation in experienced hands. patient underwent implantation of an intrauterine device for contraception, but it evolved with amenorrhea and diagnosis of gestation during the course of the 12th week. The patient chose to remove the device, even though it was oriented for the related risks. the patient was sedated and submitted to ambulatorial hysteroscopy using the Bettocchi set and performed removal of the intrauterine device by seizing forceps. After the procedure, ultrasound was performed with verification of preserved fetal vitality, and gestation progressed normally, with subsequent delivery to term. In exceptional situations it is possible to perform hysteroscopy in a pregnant patient.
Published Version
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