Thu. Nov 21st, 2024

To lack of clinical knowledge on this subject as well as a lack of published clinical case reports. subject too as a lack of published clinical case reports.2. Case Report 2. Case Report A 34-year-old gravida 4, four, parafemale presented to the Perinatology Centre for manA 34-year-old gravida para 2 2 female presented for the Perinatology Centre for agement of presumed heterotopic angular pregnancy located inside the left the leftof the uterus. management of presumed heterotopic angular pregnancy positioned in cornu cornu from the The patient had undergone ovarian stimulation. Her gestational age was 13w 3d determined by uterus. The patient had undergone ovarian stimulation. Her gestational age was 13w 3d early ultrasound. A Non-Invasive Prenatal Test showed noshowed no pathology. The pabased on early ultrasound. A Non-Invasive Prenatal Test pathology. The patient’s prior pregnancies included two full-term standard spontaneous vaginal deliveries and one ectopic tient’s prior pregnancies integrated two full-term normal spontaneous vaginal deliveries pregnancy. The patient had a history of Seclidemstat In Vivo laparoscopic ovarian cystectomy, appendectomy, and one ectopic pregnancy. The patient had a history of laparoscopic ovarian cystectomy, cholecystectomy,cholecystectomy, laparoscopic treatment of ovarian apoplexy therapy appendectomy, laparoscopic therapy of ovarian apoplexy and laparoscopic and lapaof ectopictreatment ofin the left fallopian tube. left fallopian tube. roscopic pregnancy ectopic pregnancy inside the On admission, the patient’s vitals were steady. TheThe patient reported episodic abOn admission, the patient’s vitals had been steady. patient reported episodic abdominal discomfort on the left side.left side. Thromboxane B2 Autophagy transabdominal ultrasound imaging hypoechogenic dominal pain around the Transabdominal ultrasound imaging revealed a revealed a hy3.05 three.08 cm size three.08 cm size left cornu of left cornu from the uterus, filled with fluid poechogenic 3.05 mass within the mass inside the the uterus, filled with fluid (with out viable embryo), which, by which, by evaluation with the blood flow, could have already been connected (devoid of viable embryo), evaluation in the blood flow, could happen to be associated with the uterus.uterus. Figure 1. towards the Figure 1.Figure 1. Left cornu on the uterus visualized by transabdominal ultrasonography on the 13w 3d. Figure 1. Left cornu from the uterus visualized by transabdominal ultrasonography on the 13w 3d.An urgent Magnetic Resonance Imaging (MRI) was performed. A 36 20 36 mm An urgent Magnetic Resonance Imaging (MRI) was performed. A 36 20 36 mm size cystic mass with T2-hyperintense wall inside the left cornual region was observed. An size cystic mass with T2-hyperintense wall in the left cornual region was observed. An MRI scan also showed a single far more fetus inside the uterine cavity with placenta situated on MRI scan also showed one particular much more fetus inside the uterine cavity with placenta located around the left lateral wall. Figure 2 The diagnosis of a heterotopic angular pregnancy within the left the left lateral wall. Figure two The diagnosis of a heterotopic angular pregnancy within the left cornu in the uterus was established. The patient was hospitalized for additional observation. cornu on the uterus was established. The patient was hospitalized for further observation. In the course of hospitalization, blood and urine tests’ results were inside the standard range. A In the course of hospitalization, blood and urine tests’ benefits had been inside the regular variety. multidisciplinary team (MDT) decided to help keep preserve moni.