Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug;76(8):906-909.
doi: 10.1055/s-0042-106086.

Laparoscopic Chromopertubation, Myomectomy with Opening of the Uterine Cavity and Hysteroscopy during the Early Implantation Phase of an Undetected Pregnancy: Delivery of a Child with a Complex Brain Malformation

C Mann  1 , K Karl  2 , B Ertl-Wagner  3 , H Weigand  4 , C J Thaler  5
Affiliations

Laparoscopic Chromopertubation, Myomectomy with Opening of the Uterine Cavity and Hysteroscopy during the Early Implantation Phase of an Undetected Pregnancy: Delivery of a Child with a Complex Brain Malformation

C Mann et al. Geburtshilfe Frauenheilkd. 2016 Aug.

Abstract
in English, German

A previously infertile woman underwent laparoscopic myomectomy involving opening of the uterine cavity and chromopertubation that showed closed Fallopian tubes during the early implantation stage of an undetected pregnancy. The pregnancy was not terminated, and a child with a complex brain malformation was delivered at 37 weeks of gestation by Cesarean section.

Bei einer Patientin mit sekundärer Infertilität wurde, im Frühstadium der Einnistungsphase einer unbekannten Schwangerschaft, eine laparaskopische Myomenukleation mit Eröffnung des Cavums und Chromopertubation durchgeführt. Die Untersuchung zeigte verschlossene Tuben beidseits. Die Schwangerschaft wurde nicht abgebrochen, in der 37. SSW wurde die Patientin per Sectio caesarea von einem Kind mit einer komplexen Hirnfehlbildung entbunden.

Keywords: embryonic period; infertility; malformation; pregnancy; reproductive medicine; sonography.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Laparoscopic surgery: myomectomy of the large fibroid at the fundus.
Fig. 2
Fig. 2
Fetal ultrasound imaging at 25 weeks of gestation shows hypoplasia of the cerebellar vermis with an enlarged cisterna magna.
Fig. 3
Fig. 3
Neonatal MRI: sagittal T2-weighted image shows hypoplasia of the vermis with malrotation.
See this image and copyright information in PMC

References

    1. AL-Mizyen E, Barnick C G, Grudzinskas J G. Early pregnancy is elusive and robust. Early Pregnancy. 2001;5:144–148. - PubMed
    1. Dwivedee K, Banfield P J. A case report of inadvertent hysteroscopy and laparoscopy in a patient of uterus didelphys with early pregnancy. J Obstet Gynaecol. 2007;27:638–639. - PubMed
    1. Erenus M, Sezen D. Ongoing pregnancy in a woman who inadvertently underwent office hysteroscopy during early pregnancy. Fertil Steril. 2005;83:211–212. - PubMed
    1. Novak E R, Woodruff J D. Philadelphia, USA: Saunders; 1979. Myoma and other benign Tumors of the Uterus. Gynecologic and Obstetrics Pathology. 8th ed; pp. 260–278.
    1. Hurst B S, Matthews M L, Marshburn P B. Laparoscopic myomectomy for symptomatic uterine myomas. Fertil Steril. 2005;83:1–23. - PubMed