Bibliographic Details
| Title: |
3Dimensional sonography for the diagnosis of congenital uterine anomalies in women with eccentric pregnancy implantation: a novel approach. |
| Authors: |
Melcer, Yaakov1 (AUTHOR) ymeltcer@gmail.com, Revivo, Perry Eliassi1 (AUTHOR), Pekar-Zlotin, Marina1 (AUTHOR), Smorgick, Noam1 (AUTHOR), Maymon, Ron1 (AUTHOR) |
| Source: |
Archives of Gynecology & Obstetrics. Sep2024, Vol. 310 Issue 3, p1651-1657. 7p. |
| Subject Terms: |
*EMBRYO implantation, *SEPTATE uterus, *UTERUS, *DATABASES, *PREGNANCY |
| Abstract: |
Purpose: The eccentric implantation of pregnancies in the upper lateral aspect of the uterine cavity is poorly defined clinically. The aim of the current study was to investigate whether differentiating between uterine anomalies that can lead to cavitary distortion has implications for the management of these pregnancies. Methods: Eight cases of first-trimester eccentric pregnancy implantation within the endometrial cavity (study group) were retrospectively identified. For each woman in the study group, 10 women identified as having a first-trimester concentric pregnancy implantation during the first-trimester US examination were retrieved from our database (control group). After delivery or pregnancy demise, the presence of uterine anomalies was assessed by a 3D-US examination in all patients. Results: In the study group patients, an increased incidence of uterine anomalies (50.0% vs. 8.8%, p = 0.007) was found, compared to the controls. In the study group, the eccentric location persisted in half of the pregnancies (n = 4; 50%), whereas the other half migrated to a more centric location within the endometrial cavity (n = 4; 50%). The follow-up examination showed that all the early pregnancy demises occurred in cases where the pregnancy persisted at the eccentric location. Uterine malformations were also detected in all these cases. Conclusion: The data point to a significantly higher incidence of uterine anomalies in patients diagnosed with eccentric pregnancy implantation within the endometrial cavity. These results advocate for the value of differentiating between eccentric pregnancies in non-anomalous versus anomalous uteri. [ABSTRACT FROM AUTHOR] |
|
Copyright of Archives of Gynecology & Obstetrics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Academic Search Complete |
