Myomectomy scar pregnancy: a case report and review of the literature. Issue 7 (July 2020)

• Record Type: Journal Article
• Authors: Zhu, Linling; Yang, Xinyun; Sun, Wenchao; Qian, Liang; Li, Songyi; Li, Dingheng
• Is Part Of: Journal of international medical research. Volume 48:Issue 7(2020)
• Publication Date: 2020-07
• Subjects: Myomectomy scar pregnancy -- ectopic pregnancy -- beta-human chorionic gonadotrophin -- vaginal bleeding -- gestational sac -- surgical enucleation -- uterine fibroids; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060520924542
• Languages: English
• ISSNs: 0300-0605

Abstract

Myomectomy scar pregnancy (MSP) is a rare disease, which is defined as a gestational sac located within a previous myomectomy scar. MSP is an uncommon late complication of uterine fibroids after myomectomy. We report a case where the implantation site matched the site of the previous myomectomy, and review the existing literature. A 28-year-old pregnant woman presented with vaginal bleeding. She was diagnosed with MSP by ultrasound and magnetic resonance imaging, and then underwent laparotomic enucleation. The patient's postoperative course was uneventful. Taking into account the findings in our case and the seven other reported cases of MSP, we propose that MSP can be divided into three types and that surgical enucleation of the pregnancy mass is an effective treatment.