IMR Press / CEOG / Volume 42 / Issue 5 / DOI: 10.12891/ceog1970.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Right angular pregnancy at seven weeks’ gestation: a case report treated by laparoscopic approach
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1 Gynecologic and Obstetric Clinic, Department of Surgical, Microsurgical and Medical Sciences. University of Sassari, Sassari (Italy)
Clin. Exp. Obstet. Gynecol. 2015, 42(5), 698–700; https://doi.org/10.12891/ceog1970.2015
Published: 10 October 2015
Abstract

Angular pregnancy (AP) or implantation of the embryo in the lateral angle of the uterine cavity close to the internal ostium of the fallopian tube is a very rare event. In fact, angular pregnancy refers to implantation of the embryo just medial to the uterotubal junction, in the lateral angle of the uterine cavity. AP must be distinguished, anatomically, from interstitial pregnancy by its position in relation to the round ligament, which crosses the Mullerian duct at the side of the uterotubal junction. AP is associated with a high rate of complications such as bleeding and ruptured uterus due to delayed diagnosis. The authors present a clinical report of AP at seven weeks’ gestation without uterine rupture. They performed directly operative laparoscopy because of acute intra-abdominal hemorrhage. Laparoscopy was useful in the treatment of early angular pregnancy and could avoid the need for invasive surgery or hysterectom.
Keywords
Angular pregnancy
Laparoscopy
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