Treatment of cornual pregnancy in a patient with adenomyosis by high-intensity focused ultrasound (HIFU) ablation

Lixia Yu, Linying Xu, Xiaoyan Xu
Medicine · 2017 · vol. 96(48) , pp. e8874 · doi:10.1097/md.0000000000008874 · PMID:29310371 · PMC5728772 · W2768343154
article OA: gold CC0 ⤵ 2 in-corpus citations
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High-intensity focused ultrasound (HIFU) ablation successfully treated a rare cornual ectopic pregnancy in a patient with adenomyosis, showing no bleeding and positive long-term outcomes.

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Abstract

RATIONALE: Cornual ectopic pregnancy in adenomyosis patients is a rare clinical condition, which may require careful approach for accurate diagnosis and treatment. PATIENT CONCERNS: A 38-year-old woman presented with amenorrhea for 8 weeks and serum HCG levels of 1455 mmol/L. The B ultrasound showed an endometrial thickness of 1.7 cm, and the presence of a cystic structure (16 6 mm) at the right uterine horn. Color Doppler flow imaging (CDFI) accurately detected and confirmed the position of the cystic structure with its clear boundaries. DIAGNOSES: Cornual ectopic pregnancy in adenomyosis. INTERVENTIONS: The diagnosis was confirmed and treated by HIFU ablation. Total ablation was performed for 738 seconds without any bleeding. OUTCOMES: Serum HCG levels decreased to < 0.1 mmol/L after 60 days post operation, and follow-up for 11 months showed a regular menstrual cycle without dysmenorrhea. Gestational sac was not obvious at postoperative 90 days by MRI. The adenomyosis associated lesion with blood perfusion became smaller at postoperative 90 days. LESSONS: In this case, we successfully performed HIFU ablation and treated the cornual ectopic pregnancy in an adenomyosis patient for the first time, without any adverse complications.

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Condition tags

adenomyosisdysmenorrhea

MeSH descriptors

Adenomyosis Pregnancy, Cornual Adenomyosis Adenomyosis Adult Female High-Intensity Focused Ultrasound Ablation Humans Pregnancy Pregnancy, Cornual Pregnancy, Cornual Ultrasonography, Doppler, Color

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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