Heterotopic pregnancy after surgical treatment of colorectal endometriosis
Kondratovich L.M., Chursin V.V., Dzhabiev A.V., Chuprynin V.D., Badlaeva A.S.
Background: The ovaries and pelvic peritoneum, fallopian tubes, intestines, bladder, cervix and vagina are the most common sites of endometrioid lesions. The preservation and restoration of fertility in patients with endometriosis represent a significant and frequently discussed issue.
Case report: The report presents a clinical observation of spontaneous heterotopic pregnancy with one gestational sac implanted in the uterine cavity and the second gestational sac implanted in an adhesion conglomerate in the area of endometrioid heterotopias that formed an infiltrative focus. The article describes the characteristics of ultrasound diagnosis and operative management of the patient with two embryos located outside and inside the uterine cavity. It also demonstrates the interaction of the departments in the medical institution and the significance of diagnostic intraoperative ultrasound guidance. All timely interventions enabled the possibility of prolonging the uterine pregnancy. The patient gave birth at term.
Conclusion: The clinical observation demonstrated the diagnostic capabilities of scanning with the 3D reconstruction technology, the use of endocavitary transducers in case of heterotopic pregnancy and intraoperative ultrasound guidance. The patient’s adherence to treatment, modern diagnostic and treatment technologies, doctors’ professionalism ensured the preservation of the woman’s reproductive health.
Authors’ contributions: Dzhabiev A.V., Chuprynin V.D. – developing the concept and design of the study; Kondratovich L.M., Badlaeva A.S. – collecting and processing the material; Kondratovich L.M. – writing the text; Chursin V.V., Chuprynin V.D. – editing the article.
Conflicts of interest: Authors declare lack of the possible conflicts of interests.
Funding: The study was carried out without sponsorship.
Acknowledgments: The authors express their gratitude to Asaturova A.V., Dr. Med. Sci., Head of the Pathological Morphology Department of the Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, for her assistance in preparing the morphologic part of the article.
Patient Consent For Publication: The patient provided an informed consent for the publication of her data and images.
For citation: Kondratovich L.M., Chursin V.V., Dzhabiev A.V., Chuprynin V.D., Badlaeva A.S.
Heterotopic pregnancy after surgical treatment of colorectal endometriosis.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2024; (10): 192-198 (in Russian)
https://dx.doi.org/10.18565/aig.2024.151
Keywords
heterotopic pregnancy
MRI
intraoperative ultrasound
endometriosis
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Received 04.07.2024
Accepted 29.07.2024
About the Authors
Lyudmila M. Kondratovich, PhD, obstetrician-gynecologist at the Surgical Department, V.I. Kulakov NMRC OG&P, Ministry of Health of Russia, 117997, Russia, Moscow,Ac. Oparin str., 4, l_kondratovich@oparina4.ru, https://orcid.org/0000-0003-4717-4019
Vyacheslav V. Chursin, surgeon at the Surgical Department, V.I. Kulakov NMRC OG&P, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparin str., 4,
v_chursin@oparina4.ru, https://orcid.org/0009-0002-9952-6629
Alan V. Dzhabiev, doctor at the Department of Ultrasound Diagnostics, V.I. Kulakov NMRC OG&P, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparin str., 4, a_dzhabiev@oparina4.ru, https://orcid.org/0000-0002-2858-0129
Vladimir D. Chuprynin, Ph.D., Head of the Surgical Department, V.I. Kulakov NMRC OG&P, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparin str., 4,
v_chuprynin@oparina4.ru, https://orcid.org/0009-0003-7856-2863
Alina S. Badlaeva, PhD, Pathologist, Senior Researcher at the 1st Pathological Department, V.I. Kulakov NMRC OG&P, Ministry of Health of Russia, 117997, Russia, Moscow, Ac. Oparin str., 4, https://orcid.org/0000-0001-5223-9767
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