1 / 21

CASE PRESENTATION DR.MINI GOPAL KANYAKUMARI IVF DR.GOPALA PILLAIS HOSPITAL

CASE PRESENTATION DR.MINI GOPAL KANYAKUMARI IVF DR.GOPALA PILLAIS HOSPITAL NAGERCOIL . 30 Years Female SO + IUI Pregnancy Serum βHCG – 520 mIU /ml EVS – 6 wks GS in Anterior Myometrium in LUS YS + , FP +, Fh+ Endometrial cavity empty. Past H / -

rupert
Download Presentation

CASE PRESENTATION DR.MINI GOPAL KANYAKUMARI IVF DR.GOPALA PILLAIS HOSPITAL

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CASE PRESENTATION DR.MINI GOPAL KANYAKUMARI IVF DR.GOPALA PILLAIS HOSPITAL NAGERCOIL

  2. 30 Years Female SO + IUI Pregnancy Serum βHCG – 520 mIU/ml EVS – 6 wks GS in Anterior Myometrium in LUS YS+ ,FP+, Fh+ Endometrial cavity empty

  3. Past H / - Primary Infertility of 3 yrs M/H – Irregular Cycles Hysterolaparoscopy Single Cavity Rt osteum obscured Lt osteum clear Uterus bulky adenomyotic Seedling myoma anterior left cauterised Rt adnexa absent Lt ovarian & POD adhesions released Lt tube patent

  4. Treatment Conservative – S: β HCG - <1000 mIU/ml Unruptured, stable patient EVUSGA and Mtx injection

  5. Follow up β HCG Regression Curve EVUSGA 16/07 26/07 29/07 30/07 01/08 08/08 16/8 24/8 30/8

  6. Intra Myometrial Pregnancy Rarest ectopic pregnancy Difficult diagnosis GS within uterine wall Separate from uterine cavity & F : tube

  7. Causes Previous uterine trauma Recurrent curettage Previous caesarean section Myomectomy Adenomyosis UAE for fibroids

  8. Symptoms & signs + ve pregnancy test Abdominal pain Irregular bleeding PV

  9. DIAGNOSIS ENDO VAGINAL USG MRI

  10. Differential Diagnosis Pregnancy in uterine diverticulum Degenerating Myoma

  11. Complications Uterine rupture Placenta accreta External migration Maternal mortality – 2.5 %

  12. Treatment Conservative – Local MT x Systemic MT x Surgical - Enucleation Laparoscopic Laparotomy

  13. Conclusion Early Diagnosis Fertility Sparing

More Related