Cornual, interstitial, and angular pregnancies: clarifying the terms and a review of the literature

Arleo, Elizabeth Kagan; DeFilippis, Ersilia M.

doi:10.1016/j.clinimag.2014.04.002

Cited by 88 publications

(110 citation statements)

References 27 publications

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“…Heterotopic pregnancy (HP) refers to the coexistence of an intrauterine pregnancy with an EP in any of these locations. ‘Cornual’ pregnancies are those implanted in a horn of an anomalous uterus (i.e., unicornuate, bicornuate, didelphys or septate uteri); these do not uniformly require intervention and will not be included in this review [2–4]. …”

Section: Resultsmentioning

confidence: 99%

Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review

Panelli

Phillips

Brady

2015

Fertil Res and Pract

207

251

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BackgroundEctopic pregnancy is a potentially life-threatening condition occurring in 1-2 % of all pregnancies. The most common ectopic implantation site is the fallopian tube, though 10 % of ectopic pregnancies implant in the cervix, ovary, myometrium, interstitial portion of the fallopian tube, abdominal cavity or within a cesarean section scar.FindingsDiagnosis involves a combination of clinical symptoms, serology, and ultrasound. Medical management is a safe and effective option in most clinically stable patients. Patients who have failed medical management, are ineligible, or present with ruptured ectopic pregnancy or heterotopic pregnancy are most often managed with excision by laparoscopy or, less commonly, laparotomy. Management of nontubal ectopic pregnancies may involve medical or surgical treatment, or a combination, as dictated by ectopic pregnancy location and the patient's clinical stability. Following tubal ectopic pregnancy, the rate of subsequent intrauterine pregnancy is high and independent of treatment modality.ConclusionThis review describes the incidence, risk factors, diagnosis, and management of tubal and non-tubal ectopic and heterotopic pregnancies, and reviews the existing data regarding recurrence and future fertility.

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Section: Resultsmentioning

confidence: 99%

Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review

Panelli

Phillips

Brady

2015

Fertil Res and Pract

207

251

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“…EP occurs mainly in the non-interstitial segments (especially ampullar) of the fallopian tubes and still remains one of the major causes of maternal mortality [2].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Preoperative Neutrophil-To-Lymphocyte Ratio and Platelet-To-Lymphocyte Ratio on Predicting Rupture Risk in Tubal Ectopic Pregnancies

Kan

Gemici

Alkılıç

et al. 2019

Gynecol Obstet Invest

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Background: Consecutive measurements of β-hCG levels and sonographic evaluation of adnexae are critical for choosing the optimal management in ampullar tubal ectopic pregnancies (EP). To select suitable patients for conservative approach, there is a need for an affordable and reliable marker for determining rupture risk. Evaluation of systemic inflammatory markers in combination with serum β-hCG levels and ultrasound might help to decide the appropriate treatment option. Objective: The purpose of the present study was to evaluate the diagnostic value of neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) in determining the rupture risk in ampullar tubal EPs and to compare with intraoperative findings. Methods: A total of 142 patients who underwent surgery for tubal EP were included. Seventy-two patients were in the intraoperatively diagnosed tubal rupture group and 70 patients without rupture findings were included in the control group. Both groups were compared for inflammation markers, β-hCG levels, and sonographic findings. Results: Both NLR and PLR levels were found to be significantly higher in the tubal rupture group (4.62 ± 3.13 vs. 2.67 ± 1.43, 162.94 ± 63.61 vs. 115.84 ± 41.15, p < 0.01, respectively). According to the receiver operating characteristic analysis performed for the diagnostic performance of tubal diameter measurement, β-hCG, NLR, and PLR levels were significantly associated with histopathologically confirmed tubal rupture (p < 0.01). Conclusion: Systemic inflammatory markers are feasible and affordable tools for predicting tubal rupture risk in ampullar EPs and might be useful for determining surgery decision especially in low resource settings.

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“…This myometrial thinning also occurs in angular pregnancy but at a later stage, usually from the second trimester. 5,9,13 When diagnostic doubt persists after the twodimensional evaluation, we can use three-dimensional ultrasonography as it has a greater sensitivity for visualization of the endometrial cavity. 14 The nuclear magnetic resonance (MRI) is also helpful in diagnosing between an interstitial and angular pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Interstitial and angular pregnancies: Case reports and differential diagnosis

Cordeiro

Alves

Feitosa

2018

J of Obstet and Gynaecol

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Interstitial and angular pregnancies are rare and have high rates of morbidity and mortality. These terms continue to create confusion and are frequently misused. The standardization of terminology and differentiation of cases is necessary to distinguish between different outcomes. This article aims to report one case of angular and another case of interstitial pregnancies and to discuss clinical and radiological characteristics, prognosis and treatment. These pathologies continue to be confused with each other and with ectopic pregnancy tubal. Therefore, correct diagnosis facilitates appropriate management.

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Cornual, interstitial, and angular pregnancies: clarifying the terms and a review of the literature

Cited by 88 publications

References 27 publications

Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review

Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review

The Effect of Preoperative Neutrophil-To-Lymphocyte Ratio and Platelet-To-Lymphocyte Ratio on Predicting Rupture Risk in Tubal Ectopic Pregnancies

Interstitial and angular pregnancies: Case reports and differential diagnosis

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