Tubal ectopic pregnancy: Coincidental magnetic resonance imaging

Non-tubal ectopic pregnancies are risk factors for maternal death and require prompt diagnosis and treatment. However, there are no established guidelines for their treatment because their rarity and care is individualized. We retrospectively reviewed the medical records of non-tubal ectopic pregnancies at our institution between May 2009 and September 2020. Thirty-four relevant cases were identified, including 14 interstitial, seven cervical, six peritoneal, three caesarean scars, two ovarian, and two rudimentary horn pregnancies; 23 of the 34 cases were diagnosed before treatment using ultrasound or magnetic resonance imaging. All patients were examined before nine weeks of gestation, and 17 were examined for a positive pregnancy test without any symptoms. In conclusion, in our hospital, non-tubal ectopic pregnancies were identified early, resulting in successful treatment without serious complications.

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Uterine Rupture of a Patient With Rudimentary Horn Pregnancy at 26th Gestational Weeks Diagnosed via Magnetic Resonance Imaging: a Case Report

10.21203/rs.3.rs-925100/v1 ◽

2022 ◽

Author(s):

SEVCAN SARIKAYA ◽

MUHSİN NUH AYBAY

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Ectopic Pregnancy ◽

Sudden Onset ◽

Free Fluid ◽

Cervical Canal ◽

Resonance Imaging ◽

Rudimentary Horn ◽

Abdominal Magnetic Resonance Imaging ◽

Magnetic Resonance Imaging Mri

Abstract Objective: Pregnancy of Rudimentary Horn is a type of ectopic pregnancy, that is recognized almost always during surgical treatment of a rupture of the rudimentary horn. This is an obstetric case diagnosed preoperatively by magnetic resonance imaging (MRI).Case: We report the case of a 19-years-old primigravida patient with rupture of rudimentary horn in 26th gestational week. The patient presented with sudden onset severe abdominal pain in the emergency room. Intraabdominal free fluid is detected. To evaluate the etiology of free fluid and location of the gestational sac, an abdominal magnetic resonance imaging (MRI) scan was planned. The decision of emergent laparotomy is made because of sonographic detection of abdominal excessive -concentrated- free fluid, abdominal tenderness, and 2 points decrease of hemoglobin value in the control hemogram. A rudimentary horn pregnancy and fundal rupture of the rudimentary part of the uterus are diagnosed during the surgical procedure. A baby -live- weighing 450 grams was delivered. The ruptured rudimentary horn and same-sided tuba uterina were surgically removed.Conclusion: Rudimentary horn pregnancy is a rare ectopic pregnancy. Diagnosis is difficult clinically, even with diagnostic imaging modalities. Identifying both cornuas systematically in all patients increases the detection rate. The absence of continuity between the gestational sac’s lumen and the cervical canal on imaging is an important finding. Due to the serious maternal and fetal complications, its detection at an early week may be life-saving.

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Acute pelvic pain in female with ruptured ectopic pregnancy: Magnetic Resonance Imaging as problem solving tool

Turkish Journal of Emergency Medicine ◽

10.5505/1304.7361.2015.64325 ◽

2015 ◽

Author(s):

Venkatraman Indiran

Keyword(s):

Magnetic Resonance Imaging ◽

Problem Solving ◽

Magnetic Resonance ◽

Ectopic Pregnancy ◽

Pelvic Pain ◽

Resonance Imaging ◽

Acute Pelvic Pain

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Magnetic resonance imaging of common, uncommon, and rare implantation sites in ectopic pregnancy

Abdominal Radiology ◽

10.1007/s00261-018-1604-2 ◽

2018 ◽

Vol 43 (12) ◽

pp. 3425-3435 ◽

Cited By ~ 5

Author(s):

Subramaniyan Ramanathan ◽

Vineetha Raghu ◽

Sushila B. Ladumor ◽

Anita N. Nagadi ◽

Yegu Palaniappan ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Ectopic Pregnancy ◽

Resonance Imaging ◽

Implantation Sites

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Evaluation of ectopic pregnancy by magnetic resonance imaging

Human Reproduction ◽

10.1093/humrep/14.10.2644 ◽

1999 ◽

Vol 14 (10) ◽

pp. 2644-2650 ◽

Cited By ~ 58

Author(s):

Milliam L. Kataoka ◽

Kaori Togashi ◽

Hisataka Kobayashi ◽

Takuya Inoue ◽

Shingo Fujii ◽

...

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Ectopic Pregnancy ◽

Resonance Imaging

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Cesarean scar ectopic pregnancy: invasion of the bladder wall detected by magnetic resonance imaging

Radiologia Brasileira ◽

10.1590/0100-3984.2014.1855 ◽

2017 ◽

Vol 50 (3) ◽

pp. 197-198

Author(s):

Nelson Marcio Gomes Caserta ◽

Angela Maria Bacha ◽

Oswaldo R. Grassiotto

Keyword(s):

Magnetic Resonance Imaging ◽

High Risk ◽

Magnetic Resonance ◽

Early Diagnosis ◽

Ectopic Pregnancy ◽

Bladder Wall ◽

Resonance Imaging ◽

Cesarean Scar ◽

Cesarean Deliveries ◽

Severe Hemorrhage

Abstract Although cesarean scar ectopic pregnancy continues to be the rarest form of ectopic pregnancy, its incidence is increasing because of the worldwide increase in the number of cesarean deliveries. If the diagnosis is delayed, there is a high risk of severe hemorrhage and death, whereas early diagnosis can minimize the complications associated with the condition. Here, we report a case in which invasion of the bladder wall was identified by magnetic resonance imaging.

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Magnetic Resonance Imaging as an Adjunct to Ultrasound in Evaluating Cesarean Scar Ectopic Pregnancy

Journal of Clinical Imaging Science ◽

10.4103/2156-7514.109758 ◽

2013 ◽

Vol 3 ◽

pp. 16 ◽

Cited By ~ 26

Author(s):

Rebecca Wu ◽

Michelle A. Klein ◽

Sabrina Mahboob ◽

Mala Gupta ◽

Douglas S. Katz

Keyword(s):

Magnetic Resonance Imaging ◽

Magnetic Resonance ◽

Cesarean Section ◽

Ectopic Pregnancy ◽

Transvaginal Ultrasound ◽

Doppler Imaging ◽

Resonance Imaging ◽

Cesarean Scar ◽

Number Of Patients ◽

Adjacent Structures

Cesarean scar pregnancies (CSPs) are a relatively rare form of ectopic pregnancy in which the embryo is implanted within the fibrous scar of a previous cesarean section. A greater number of cases of CSPs are currently being reported as the rates of cesarean section are increasing globally and as detection of scar pregnancy has improved with use of transvaginal ultrasound (TVUS) with color Doppler imaging. Delayed diagnosis and management of this potentially life-threatening condition may result in complications, predominantly uterine rupture and hemorrhage with significant potential maternal morbidity. Diagnosis of a cesarean scar pregnancy (CSP) requires a high index of clinical suspicion, as up to 40% of patients may be asymptomatic. TVUS has a reported sensitivity of 84.6% and has become the imaging examination of choice for diagnosis of a CSP. Magnetic resonance imaging (MRI) has been used in a small number of patients as an adjunct to TVUS. In the present report, MRI is highlighted as a problem-solving tool capable of more precisely identifying the relationship of a CSP to adjacent structures, thereby providing additional information critical to directing appropriate patient management and therapy.

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