Angular and interstitial pregnancy.

M Lancet; I Bin-Nun; I Kessler

Home/Archive/PubMed

PubMed · 844965

Angular and interstitial pregnancy.

M Lancet·I Bin-Nun·I Kessler

View original source ↗Export metadata ↓

Abstract

Two cases of interstitial and one of angular pregnancy have been presented. Angular pregnancy occurs in the angle of the uterine cavity, while interstitial pregnancy is a true ectopic pregnancy. The outcome may therefore be different: the first may develop or abort into the cavity, while the second will almost always rupture. Because of the rich vascularization of this area, hemorrhage is usually profuse and may be catastrophic. Preoperative diagnosis is rare, but the triad of bleeding in pregnancy, no fetal remnants on dialation and curettage and an asymmetric uterus suggest angular or interstitial pregnancy. More liberal use of laparoscopy may increase the number of cases diagnosed before severe bleeding occurs.

Explore related subjects

Abortion, Incomplete Adult Diagnosis, Differential Female Humans Pregnancy Pregnancy, Ectopic Pregnancy, Tubal Uterine Hemorrhage Case Reports Journal Article

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

M Lancet, I Bin-Nun, I Kessler. 1977. Angular and interstitial pregnancy.. https://pubmed.ncbi.nlm.nih.gov/844965/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed1992

Ultrasound diagnosis of complete abortion can reduce need for curettage.

One hundred and fifty-five patients presenting with signs of incomplete abortion were evaluated by ultrasound. Of these, 112 (72.26%) were found to have retained products of conception and were treated by dilatation and curettage. The remaining 43 (27.74%) were found on ultrasound to have no products of conception and were followed-up conservatively. Only one of the latter group of patients needed admission later for dilatation and curettage; this patient was found to have a small sub-mucus fibroid and endometritis. Predictive value for those not requiring D & C was 97.6%, suggesting that this test may be useful in identifying those patient who have had a complete abortion.

Abortion, Incomplete↗

PubMed1992

Clinical trial on termination of early pregnancy with RU486 in combination with prostaglandin.

Termination of early pregnancy was performed in 1572 healthy women with RU486 (mifepristone, 600mg orally once), followed 36-60 hours later by administration of methyl ester of dl-15-methyl-PGF2 alpha (PG05, 1mg vaginal suppository). Complete abortion was accomplished in 91.2% (1433/1571), incomplete abortion in 4.8% (76/1571), and continued pregnancy in 3.9% (62/1571). The time elapsed between RU486 intake and complete expulsion was 2.4 +/- 1.3 days. Expulsion took place on the third day in 935 women (72%), and on the 4th day in 273 women (21.0%). Uterine bleeding occurred on the second or third day after RU486 intake in 1256 women (88.8%), and lasted 11.7 +/- 6.4 (SD) days, range 2-55 days. One subject had blood transfusion due to excessive bleeding. The main side effects were nausea/vomiting (22.3%), abdominal pain (10.2%), headache/dizziness (4.1%) and diarrhea (2.8%). Fatal side effects have not been reported in this study. About 73% of subjects with complete abortion assessed the treatment as good to excellent. Even in the failed cases, 25-42% of subjects considered the treatment as good. Further studies are needed to determine the optimal dose of the RU486 regimen. It should be emphasized that the treatment must be used under close medical supervision in order to monitor the uterine bleeding.

Abortion, Incomplete↗

PubMed1992

Sonographic demonstration of air in the myometrium. A complication of culdocentesis.

Six cases are presented in which air was seen in the myometrium in the distribution of the arcuate vessels during sonography performed after culdocentesis to exclude ectopic pregnancy. Three of these patients had viable intrauterine pregnancies; the others had an incomplete abortion, a complete abortion, and a right ectopic pregnancy. This relatively rare complication of culdocentesis should be kept in mind, especially when scanning patients with suspected inflammatory process of the uterus, so as not to confuse air in the arcuate vessels with a uterine abscess.

Abortion, Incomplete↗