Skip to main content
Erschienen in: Current Obstetrics and Gynecology Reports 1/2021

14.01.2021 | Ectopic Pregnancies (G. Sel, Section Editor)

Rare Types of Ectopic Pregnancies

verfasst von: Dilek Yüksel

Erschienen in: Current Obstetrics and Gynecology Reports | Ausgabe 1/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The purpose of this review is to inform readers of recent discussions and findings regarding the underlying aetiology and clinical management of rare ectopic pregnancies.

Recent Findings

Risk factors, early diagnosis, treatment and results of rare ectopic pregnancies are discussed. New surgical/medical modalities and methods that facilitate early diagnosis are shared.

Summary

With the widespread use of ultrasonography and hcg assays, the diagnosis of ectopic pregnancy is increasing. At the same time, the increase in risk factors (IVF, previous surgeries, pelvic infections) also increases the rare diagnosis of ectopic pregnancy. Accordingly, the probability of detecting rare types increases. There is no clear consensus for the treatment of rare types, but early diagnosis is important to prevent maternal morbidity and mortality, and allows fertility to be preserved in cases in the reproductive age. In conclusion, when ectopic pregnancy is suspected, as well as diagnosis of ectopic pregnancy, non-tubal and other rare types should be considered when no tubal ectopic is detected. Past medical and surgical treatments of the patient should be thoroughly questioned to determine risk factors.
Literatur
2.
Zurück zum Zitat Creanga AA, Shapiro-Mendoza CK, Bish CL, Zane S, Berg CJ, Callaghan WM, et al. Obstet Gynecol. 2011;117:837–43.CrossRef Creanga AA, Shapiro-Mendoza CK, Bish CL, Zane S, Berg CJ, Callaghan WM, et al. Obstet Gynecol. 2011;117:837–43.CrossRef
3.•
Zurück zum Zitat Ghaneie A, Grajo JR, Derr C, Kumm TR. Unusual Ectopic Pregnancies,Sonografic Findings And Implications For Management. J Ultrasound Med. 2015;34:951–62 This review provides support for the rare types of ectopic pregnancy ultrasound.CrossRef Ghaneie A, Grajo JR, Derr C, Kumm TR. Unusual Ectopic Pregnancies,Sonografic Findings And Implications For Management. J Ultrasound Med. 2015;34:951–62 This review provides support for the rare types of ectopic pregnancy ultrasound.CrossRef
4.
Zurück zum Zitat Tenore JL. Ectopic pregnancy. Am Fam Physician. 2000;61:1080–8.PubMed Tenore JL. Ectopic pregnancy. Am Fam Physician. 2000;61:1080–8.PubMed
5.•
Zurück zum Zitat Parker VL, Srinivas M. Non-tubal ectopic pregnancy. Arch Gynecol Obstet. 2016;294:19–27 This review provides support for the clinical management of the rare types of ectopic pregnancies.CrossRef Parker VL, Srinivas M. Non-tubal ectopic pregnancy. Arch Gynecol Obstet. 2016;294:19–27 This review provides support for the clinical management of the rare types of ectopic pregnancies.CrossRef
6.
Zurück zum Zitat Alkatout I, Honemeyer U, Strauss A, Tinelli A, Malvasi A, Jonat W, et al. Clinical diagnosis and treatment of ectopic pregnancy. Obstet Gynecol Surv. 2013;68:571–81.CrossRef Alkatout I, Honemeyer U, Strauss A, Tinelli A, Malvasi A, Jonat W, et al. Clinical diagnosis and treatment of ectopic pregnancy. Obstet Gynecol Surv. 2013;68:571–81.CrossRef
7.••
Zurück zum Zitat Pak JO, Durfee JK, Pedro L, Osborne A, Larkins-Pettigrew M. Retroperitoneal ectopic pregnancy. Obstet Gynecol. 2018;132:1491–3 This case report provides information about the rare retroperitoneal ectopic pregnancy.CrossRef Pak JO, Durfee JK, Pedro L, Osborne A, Larkins-Pettigrew M. Retroperitoneal ectopic pregnancy. Obstet Gynecol. 2018;132:1491–3 This case report provides information about the rare retroperitoneal ectopic pregnancy.CrossRef
8.••
Zurück zum Zitat Vagg D, Arsala L, Kathurusinghe S, Ang WC. Intramural ectopic pregnancy following myomectomy. J Investig Med High Impact Case Rep. 2018;6:1–4 This case report provides information about the rare intramural ectopic pregnancy. Vagg D, Arsala L, Kathurusinghe S, Ang WC. Intramural ectopic pregnancy following myomectomy. J Investig Med High Impact Case Rep. 2018;6:1–4 This case report provides information about the rare intramural ectopic pregnancy.
9.
Zurück zum Zitat Mohamed Siraj SM, Min Chern BS. Laparoscopic management of bladder ectopic pregnancy. Gynecol Minim Invasive Ther. 2016;5:124–6. Mohamed Siraj SM, Min Chern BS. Laparoscopic management of bladder ectopic pregnancy. Gynecol Minim Invasive Ther. 2016;5:124–6.
10.
Zurück zum Zitat Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy :issues in management. Ultrasound Obstet Gynecol. 2004;23:247–53.CrossRef Seow KM, Huang LW, Lin YH, Lin MY, Tsai YL, Hwang JL. Cesarean scar pregnancy :issues in management. Ultrasound Obstet Gynecol. 2004;23:247–53.CrossRef
11.
Zurück zum Zitat Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. Br J Obstet Gynecol. 2007;114:253–63.CrossRef Ash A, Smith A, Maxwell D. Caesarean scar pregnancy. Br J Obstet Gynecol. 2007;114:253–63.CrossRef
12.
Zurück zum Zitat Shen L, Fu J, Huang W, Zhu H, Wang Q, Yang S, Wu T. Interventions for non-tubal ectopic pregnancy. Cochrane Database Syst Rev. 2014;7:1–18. Shen L, Fu J, Huang W, Zhu H, Wang Q, Yang S, Wu T. Interventions for non-tubal ectopic pregnancy. Cochrane Database Syst Rev. 2014;7:1–18.
13.
Zurück zum Zitat Benson CB, Doubilet PM. Strategies for conservative treatment of cervical ectopic pregnancy. Ultrasound Obstet Gynecol. 1996;8:371–2.CrossRef Benson CB, Doubilet PM. Strategies for conservative treatment of cervical ectopic pregnancy. Ultrasound Obstet Gynecol. 1996;8:371–2.CrossRef
14.
Zurück zum Zitat Cepni I, Ocal P, Erkan S, Erzik B. Conservative treatment of cervical ectopic pregnancy with transvaginal ultrasound guided aspiration and single dose methotrexate. Fertil Steril. 2002;81:1130–2.CrossRef Cepni I, Ocal P, Erkan S, Erzik B. Conservative treatment of cervical ectopic pregnancy with transvaginal ultrasound guided aspiration and single dose methotrexate. Fertil Steril. 2002;81:1130–2.CrossRef
15.
Zurück zum Zitat Spitzer D, Steiner H, Graf A, Zajc M, Staudach A. Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection. Hum Reprod. 1997;12:860–6.CrossRef Spitzer D, Steiner H, Graf A, Zajc M, Staudach A. Conservative treatment of cervical pregnancy by curettage and local prostaglandin injection. Hum Reprod. 1997;12:860–6.CrossRef
16.
Zurück zum Zitat Mashiach S, Admon D, Oelsner G, Paz B, Achiron R, Zalel Y. Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy. Hum Reprod. 2002;17:493–6.CrossRef Mashiach S, Admon D, Oelsner G, Paz B, Achiron R, Zalel Y. Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy. Hum Reprod. 2002;17:493–6.CrossRef
17.
Zurück zum Zitat Trambert JJ, Einstein MH, Banks E, Frost A, Goldberg GL. Uterine artery embolization in the management of vaginal bleeding from cervical pregnancy: a case series. J Reprod Med. 2005;50:844–50.PubMed Trambert JJ, Einstein MH, Banks E, Frost A, Goldberg GL. Uterine artery embolization in the management of vaginal bleeding from cervical pregnancy: a case series. J Reprod Med. 2005;50:844–50.PubMed
18.•
Zurück zum Zitat Chetty M, Elson J. Treating non-tubal ectopic pregnancy. Best Pract Res Clin Obstet Gyneacol. 2009;23:529–38 This review gives information about the clinical management of the non-tubal ectopic preganancies.CrossRef Chetty M, Elson J. Treating non-tubal ectopic pregnancy. Best Pract Res Clin Obstet Gyneacol. 2009;23:529–38 This review gives information about the clinical management of the non-tubal ectopic preganancies.CrossRef
19.
Zurück zum Zitat Honemeyer U, Plavsic SK, Kurjak A. Interstisyel ectopic pregnancy: the essential role of ultrasound diagnosis. Donald School J Ultrasound Obstet Gynecol. 2010;4:321–5.CrossRef Honemeyer U, Plavsic SK, Kurjak A. Interstisyel ectopic pregnancy: the essential role of ultrasound diagnosis. Donald School J Ultrasound Obstet Gynecol. 2010;4:321–5.CrossRef
20.
Zurück zum Zitat Raziel A, Schachter M, Mordechai E, Friedler S, Panski M, Ron-EL R. Ovarian pregnancy :a 12- year experience of 19 cases in one instution. Eur J Obstet Gynecol Reprod Biol. 2004;114:92–6.CrossRef Raziel A, Schachter M, Mordechai E, Friedler S, Panski M, Ron-EL R. Ovarian pregnancy :a 12- year experience of 19 cases in one instution. Eur J Obstet Gynecol Reprod Biol. 2004;114:92–6.CrossRef
21.
Zurück zum Zitat Dmowski WP, Rana N, Ding J, Wu WT. Retroperitoneal subpancreatic ectopic pregnancy following in vitro fertilization in a patient with previous bilateral salpingectomy: how did it get there? J Assist Reprod Genet. 2002;19:90–3.CrossRef Dmowski WP, Rana N, Ding J, Wu WT. Retroperitoneal subpancreatic ectopic pregnancy following in vitro fertilization in a patient with previous bilateral salpingectomy: how did it get there? J Assist Reprod Genet. 2002;19:90–3.CrossRef
22.
Zurück zum Zitat Ahmed DM, Fetene AA, Asres EM, Mekonnen AW, Mamuye HG. Cervical stump pregnancy 6 years after subtotal hysterectomy: a case report. J Med Case Rep. 2019;13:135.CrossRef Ahmed DM, Fetene AA, Asres EM, Mekonnen AW, Mamuye HG. Cervical stump pregnancy 6 years after subtotal hysterectomy: a case report. J Med Case Rep. 2019;13:135.CrossRef
23.
Zurück zum Zitat Agarwal N, Odejinmi F. Early abdominal ectopic pregnancy: challenges, update and review of current management. Obstet Gynecol. 2014;16:193–8.CrossRef Agarwal N, Odejinmi F. Early abdominal ectopic pregnancy: challenges, update and review of current management. Obstet Gynecol. 2014;16:193–8.CrossRef
24.
Zurück zum Zitat Ayinde OA, Aimakhu CO, Adeyanju OA, Omigbodun AO. Abdominal pregnancy at the university college hospital, Ibadan: a ten-year review. Afr J Reprod Health. 2005;9:123–7.CrossRef Ayinde OA, Aimakhu CO, Adeyanju OA, Omigbodun AO. Abdominal pregnancy at the university college hospital, Ibadan: a ten-year review. Afr J Reprod Health. 2005;9:123–7.CrossRef
Metadaten
Titel
Rare Types of Ectopic Pregnancies
verfasst von
Dilek Yüksel
Publikationsdatum
14.01.2021
Verlag
Springer US
Erschienen in
Current Obstetrics and Gynecology Reports / Ausgabe 1/2021
Elektronische ISSN: 2161-3303
DOI
https://doi.org/10.1007/s13669-020-00303-y

Gestationsdiabetes: In der zweiten Schwangerschaft folgenreicher als in der ersten

13.05.2024 Gestationsdiabetes Nachrichten

Das Risiko, nach einem Gestationsdiabetes einen Typ-2-Diabetes zu entwickeln, hängt nicht nur von der Zahl, sondern auch von der Reihenfolge der betroffenen Schwangerschaften ab.

Embryotransfer erhöht womöglich Leukämierisiko der Kinder

13.05.2024 Assistierte Reproduktion Nachrichten

Reproduktionsmedizinische Techniken haben theoretisch das Potenzial, den epigenetischen Code zu verändern und somit das Krebsrisiko der Kinder zu erhöhen. Zwischen Embryotransfer und Leukämie scheint sich ein solcher Zusammenhang bestätigt zu haben.

Alter verschlechtert Prognose bei Endometriumkarzinom

11.05.2024 Endometriumkarzinom Nachrichten

Ein höheres Alter bei der Diagnose eines Endometriumkarzinoms ist mit aggressiveren Tumorcharakteristika assoziiert, scheint aber auch unabhängig von bekannten Risikofaktoren die Prognose der Erkrankung zu verschlimmern.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.