PURPOSE To evaluate the relationship of the endometrial canal and decidua vera to the interstitial gestational sac and to determine if this relationship can be used to increase the predictive value of ultrasound (US) in the diagnosis of interstitial ectopic pregnancy. MATERIALS AND METHODS The US findings in 12 patients with interstitial ectopic pregnancy were reviewed. Radiologists also revi...

BACKGROUND Intra-uterine pregnancy coexisting with cervical pregnancy (heterotopic pregnancy) is a rare condition and its management is challenging because of the massive bleeding associated with cervical pregnancy. Uterine artery embolization followed by hysteroscopic removal of cervical and intra-uterine products of conception can theoretically prevent massive bleeding and provide a direct vi...

Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structu...

CASE A 26-year-old female presented with complaints of vaginal bleeding. Her history was significant for fetal loss during her only prior pregnancy. Her last menstrual period was 6 weeks prior. The urine pregnancy test result was positive. She had visited an outside hospital the day before and was diagnosed with a threatened abortion. The patient reported that her ultrasound results at the time...

We report two cases of Caesarean scar pregnancies that were managed surgically. The first case was a 33-year-old woman who presented at 21 weeks of gestation with lower abdominal pain. An exploratory laparotomy was performed as she was hypotensive and had a drastic drop in haemoglobin level. Intraoperatively, a ruptured scar ectopic pregnancy with placenta percreta was found. A hysterectomy was...

INTRODUCTION Cornual heterotopic pregnancy is a very rare condition; its incidence remains unknown. We report a case of cornual heterotopic pregnancy managed by laparoscopy and guided methotrexate injection into the cornual sac. CASE PRESENTATION A cornual heterotopic pregnancy was diagnosed at 9 weeks of amenorrhoea in a 31-year-old healthy woman. Ultrasound examination showed a well-formed ...

We report our experience with a case of presumptive cesarean scar pregnancy, based on detection of a gestational sac (GS) in early pregnancy at the site of a previous cesarean scar. The GS grew into the uterine cavity as the pregnancy progressed, showing an ultrasound image similar to that of a normal pregnancy. Thus, the pregnancy continued, resulting in a viable birth at 28 weeks of gestation...

OBJECTIVES To reevaluate both discriminatory and threshold levels associated with visualization of gestational sacs, yolk sacs, and fetal poles in patients presenting with vaginal bleeding, pain, or vaginal bleeding and pain in the first trimester of pregnancy using current ultrasonographic technology. METHODS We reviewed the records of patients with first-trimester vaginal bleeding, pelvic p...

A cycle of IVF was begun for her. After an antagonist cycle, 10 oocyte have been retrieved by puncture and three 8-cell grade 1 embryos have been freshly placed in the uterus. Four weeks after transferring the embryo, transvaginal ultrasound (TVS) was performed in which a gestational sac of about 4 mm without fetal pole and yolk sac were reported in the uterine cavity. No abnormality was report...