Case Of Angular Pregnancy Research Articles

Two cases of angular pregnancy with incomplete abortion treated with hysteroscopy: a case report and review of literature

BackgroundAngular pregnancy is characterized as implant medial to the uterotubal junction in lateral angular of uterine. It was a rare obstetric complication with severe complications like uterine rupture and retained placenta.Case presentationWe report a case of 2 incomplete aborted angular pregnancy that was diagnosed and treated with hysteroscopy. In this case, both of patient were performed operative hysteroscopy for incomplete abortion, and with the assistance of hysteroscopy, the angular pregnancy was detected.ConclusionsHysteroscopy can more intuitively display the conditions inside the uterine cavity, reduce the intraoperative and postoperative complications, and shorten the hospitalization time of patients. During hysteroscopy, angular pregnancy can be visualized in the upper lateral side of the uterine cavity. Based on the investigation results of clinical cases, this is the first case report of hysteroscopy in the treatment of incomplete aborted angular pregnancy.

Angular pregnancy complicated with preterm labor at 25 gestational weeks of pregnancy

Angular pregnancy refers to implantation of the embryo just medial to uterotubal junction in the lateral angle of the uterine cavity. This is differentiated from interstitial pregnancy in which the gestational sac is located within intramural portion of the tube. Angular pregnancy is categorized as intrauterine pregnancy and the outcome is known favorable. However, there have been few reports about adverse perinatal complications such as abortion, retained placenta, placenta accreta, placenta percreta and uterine rupture. We report a case of angular pregnancy complicated with preterm labor at 25 gestational weeks, placenta accreta and postpartum endometritis. This case suggests that angular pregnancy should be differentiated from normal intrauterine pregnancy because of its potential risk of adverse outcome.

Diagnosis of an Angular Pregnancy in the First Trimester Using Three-dimensional Ultrasound

Objective: Angular pregnancy is a rare type of intrauterine pregnancy. However, its differentiation from an interstitial pregnancy is often confusing in spite of use of high-resolution transvaginal sonography. This report discusses a case of angular pregnancy, which was confirmed using 3D ultrasound at 7 weeks and 2 days of gestation. Case Report(s): A 31-year-old woman, gravida 3, para 2, was referred to our hospital with a suspected interstitial pregnancy at 7 weeks of gestation. We could not determine whether the gestational sac was located within or outside the uterine cavity by 2D sonography. A gestational sac lying at the left uterine angle and partially protruding into the interstitial part of the tube was clearly demonstrated by 3D transvaginal sonography. Suctional dilatation and curettage (D&C) was chosen by the patient. Conclusion(s): Three-dimensional ultrasound is a helpful diagnostic tool in women with suspected angular or interstitial pregnancies. The use of 3D ultrasound permits an early non-invasive diagnosis of an angular pregnancy, and allows appropriate management which can avoid an invasive procedure.

Two Cases of Angular Pregnancy

Two Cases of Angular Pregnancy