Estimation of endocervical curettage in detecting pathologies in clinical practice

Abstract

e91showed in the ultrasound a heterogeneous endometrium with 17 mm thick without identification of any embryonic structures and no fluid in the Douglas' pouch. A week later her ␤-hCG in the serum was of 4177 mUI/mL and the pelvic ultrasound shows an image within the fundus/left horn compatible with an ectopic pregnancy. The patient was submitted to diagnostic laparoscopy followed by left cornual resection and left salpingectomy by laparotomy. Histological studies of the fragment showed signs of decidualization and tissue invasion by trophoblast. 2. 27 year old woman, G4P1 (cesarean section in 2014), sent by the Reproductive Health Consult with the diagnosis of ectopic pregnancy. The ultrasoud showed near the left horn of the uterus a econegative image with peripheral vasculature and deciduous reaction with about 31 mm × 23 mm.Conclusion: The described clinical cases were treated surgically, reducing the likelihood of relapse, and both cases had only as risk factor a history of previous pelvic surgery. None of the patients had acute abdominal hemorrhage or was ever hemodynamically unstable.http://dx.