Ipsilateral Right Angular Pregnancy After a Laparoscopic Right Salpingo-Oophorectomy: A Case Report

IR (HANDLE) Open Access
  • To, Genichiro
    Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University
  • Kodama, Keisuke
    Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University
  • Onoyama, Ichiro
    Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University
  • Yahata, Hideaki
    Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University
  • Kato, Kiyoko
    Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University

Description

It can be difficult to distinguish an interstitial pregnancy from an angular pregnancy because of the close proximity of the implantation sites. The difference in pregnancy outcomes between interstitial and angular pregnancies makes this distinction very important. A 39-year-old gravida 7 para 4 who had undergone a laparoscopic right salpingo-oophorectomy (RSO) one year ago and a pregnancy termination via dilation and curettage (D&C) three weeks ago was suspected to have a ruptured right interstitial or angular pregnancy. The patient underwent a laparoscopic total hysterectomy. The postoperative histologic diagnosis was an abortion of a right angular pregnancy. Indeed, it is essential to rule out an interstitial or angular pregnancy during adnexal surgery, even soon after elective abortion. Proper management of an angular pregnancy could prevent a fatal outcome following a rupture or massive hemorrhage.

Journal

  • Cureus

    Cureus 15 (9), e46171-, 2023-09-29

    Springer

Keywords

Details 詳細情報について

  • CRID
    1050863782913695616
  • HANDLE
    2324/7183410
  • ISSN
    21688184
  • Text Lang
    en
  • Article Type
    journal article
  • Data Source
    • IRDB

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