Laparoscopic treatment of ectopic pregnancy resulting from intrauterine transmigration

Pasini, Andrea; Alfieri, Lodovico; Belloni, C

doi:10.1016/s0306-5456(00)00105-4

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…Ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy is assumed to be even rare especially in cases of spontaneous pregnancy. Our search of MEDLINE and PubMed showed one article reporting a laparoscopically treated case of ectopic pregnancy occurring in the remnant portion of the tube after adnexectomy 5 . Unfortunately, because there were no figures showing the evidence of such situation and pathological findings in that paper, the precise condition of the ectopic pregnancy is difficult to evaluate.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: Report of two cases

Takeda

Manabe

Mitsui

et al. 2006

J of Obstet and Gynaecol

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Two cases of spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after previous ipsilateral adnexectomy are presented. Laparoscopic observation and postoperative histopathological examination suggested intrauterine transmigration of the fertilized egg as the etiology. Laparoscopic excision of the remnant tube was performed and the postoperative course was uneventful in both cases. Attention should be paid to this unusual type of ectopic pregnancy while examining patients with previous history of adnexal surgery.

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Section: Discussionmentioning

confidence: 99%

“…As such events become more common, reports of unusual implantation sites such as the ovary, cervix, peritoneum and cornual portion have increased 2,3 . However, discounting those associated with assisted reproduction, the occurrence of these unusual types of ectopic pregnancies is considered otherwise to be rare 4,5 …”

mentioning

confidence: 99%

Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: Report of two cases

Takeda

Manabe

Mitsui

et al. 2006

J of Obstet and Gynaecol

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“…With the AFS classification, 101 cases of genital malformation were described (see Table 1). Among them, only 20 cases matched the embryological-clinical classification, eight did not match each other; in 73 cases [17,19,21,24,29,36,42,44,45,50,58,61,62,68,, the classification of the malformation using this system was incomplete because although the type of uterine anomaly of the AFS classification matched that of the embryological-clinical classification, characteristics of the urinary system or the vagina were overlooked when using the AFS system. Thus, the embryological-clinical classification was more complete.…”

Section: Suitabilitymentioning

confidence: 99%

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Navarro,

Acién,

Acién

2024

JCM

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Complex urogenital malformations are clinically highly relevant; thus, they must be appropriately diagnosed and classified before initiating treatment. Background/Objectives: This study aimed to evaluate the applicability and suitability of the embryological–clinical classification of female genital malformations. Methods: A systematic review of cases of genital malformations reported in the literature from 2000 to 2020 was conducted. Case reports and series with the following combinations: “female genital tract” AND (malformation OR anomaly OR müllerian anomaly OR uterine anomaly OR cervical anomaly OR vaginal anomaly OR cloacal anomaly OR urogenital sinus); and “female genital tract” AND (renal agenesis OR ectopic ureter) were searched. A total of 3124 articles were identified, of which 824 cases of genital malformation were extracted. The characteristics of each malformation were included in a database for further analyses. Results: Using the embryological–clinical classification, 89.9% of the published cases and 86.5% of the 52 cases defined as unclassifiable by their authors have been classified in this review. In 73 cases (72.2%), the classification of the malformation using the AFS system was incomplete because although the type of uterine anomaly of the AFS classification matched that of the embryological–clinical classification, characteristics of the urinary system or the vagina were overlooked when using the AFS system. Following a dispersion matrix, we have been able to show that the embryological–clinical classification system is able to classify and subclassify the genitourinary malformations more accurately. Conclusions: The applicability of the embryological–clinical classification has been confirmed after classifying most of the cases of genital malformation previously published. This system also provides a more complete and accurate classification than other classifying systems exclusively based on Müllerian duct development or uterovaginal parameters, demonstrating its suitability.

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“…Transperitoneal migration of the gamete resulting in a rudimentary uterine horn pregnancy is a rare but well‐known event. A recent case report in the British Journal of Obstetrics and Gynaecology 2 discussed the occurrence of an ectopic pregnancy in a blind tubal remnant as a result of intrauterine transmigration of the zygote from the other normal tube. We would like to bring to the attention of the authors that the first reported case of a patient with a non‐communicating rudimentary uterine horn, where a spontaneous conception occurred as a result of transperitoneal gamete migration from the opposite tube, was published in the Journal of Obstetrics and Gynaecology in 1998 3 .…”

mentioning

confidence: 99%

Comment on: Laparoscopic resection of a uterine horn following a pregnancy and rupture at 30 weeks' gestation. (Jones, et al. Gynaecological Endoscopy 2001; 10: 65–68)

Mahalakshmi

Chin

2001

Gynaecol Endoscopy

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Laparoscopic treatment of ectopic pregnancy resulting from intrauterine transmigration

Cited by 3 publications

References 5 publications

Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: Report of two cases

Spontaneous ectopic pregnancy occurring in the isthmic portion of the remnant tube after ipsilateral adnexectomy: Report of two cases

Applicability and Suitability of the Embryological–Clinical Classification of Female Genital Malformations: A Systematic Review

Comment on: Laparoscopic resection of a uterine horn following a pregnancy and rupture at 30 weeks' gestation. (Jones, et al. Gynaecological Endoscopy 2001; 10: 65–68)

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