Kondratovich L.M
Academician V.I. Kulakov National Medical Research Centre, Russian FederationPresentation Title:
Heterotopic pregnancy after surgical treatment of colorectal endometriosis
Abstract
Background: The ovaries and pelvic peritoneum, fallopian tubes, intestines, bladder, cervix and vagina are the most common sites of endometrioid lesions. The preservation and restoration of fertility in patients with endometriosis represent a significant and frequently discussed issue.
Case report: The report presents a clinical observation of spontaneous heterotopic pregnancy with one gestational sac implanted in the uterine cavity and the second gestational sac implanted in an adhesion conglomerate in the area of endometrioid heterotopias that formed an infiltrative focus. The article describes the characteristics of ultrasound diagnosis and operative management of the patient with two embryos located outside and inside the uterine cavity. It also demonstrates the interaction of the departments in the medical institution and the significance of diagnostic intraoperative ultrasound guidance. All timely interventions enabled the possibility of prolonging the uterine pregnancy. The patient gave birth at term.
Conclusion: The clinical observation demonstrated the diagnostic capabilities of scanning with the 3D reconstruction technology, the use of endocavitary transducers in case of heterotopic pregnancy and intraoperative ultrasound guidance. The patient’s adherence to treatment, modern diagnostic and treatment technologies, doctors’ professionalism ensured the preservation of the woman’s reproductive health.
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