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
Review
. 2020 Jul;48(7):300060520924542.
doi: 10.1177/0300060520924542.

Myomectomy scar pregnancy: a case report and review of the literature

Linling Zhu  1 , Xinyun Yang  2 , Wenchao Sun  1 , Liang Qian  1 , Songyi Li  1 , Dingheng Li  1
Affiliations
Review

Myomectomy scar pregnancy: a case report and review of the literature

Linling Zhu et al. J Int Med Res. 2020 Jul.

Abstract

Myomectomy scar pregnancy (MSP) is a rare disease, which is defined as a gestational sac located within a previous myomectomy scar. MSP is an uncommon late complication of uterine fibroids after myomectomy. We report a case where the implantation site matched the site of the previous myomectomy, and review the existing literature. A 28-year-old pregnant woman presented with vaginal bleeding. She was diagnosed with MSP by ultrasound and magnetic resonance imaging, and then underwent laparotomic enucleation. The patient's postoperative course was uneventful. Taking into account the findings in our case and the seven other reported cases of MSP, we propose that MSP can be divided into three types and that surgical enucleation of the pregnancy mass is an effective treatment.

Keywords: Myomectomy scar pregnancy; beta-human chorionic gonadotrophin; ectopic pregnancy; gestational sac; surgical enucleation; uterine fibroids; vaginal bleeding.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Ultrasound imaging shows a hybrid-echo mass in the right horn of the uterus (yellow arrow). (a) Transverse section of the uterus; and (b) three-dimensional image of the uterus.
Figure 2.
Figure 2.
Magnetic resonance imaging of the pelvic cavity showing a mass of mixed signal (yellow arrow), which connects with the uterine cavity, in the fundus near the right uterine cornua. (a) Sagittal views of magnetic resonance imaging; and (b) transverse views of magnetic resonance imaging.
Figure 3.
Figure 3.
Laparotomic view of our case of myomectomy scar pregnancy. (a) Bulging trophoblastic tissues (yellow arrow) can be seen; and (b) dead space in the myometrium (white arrow) and a channel to the uterine cavity (yellow arrow) can be seen.
Figure 4.
Figure 4.
Three types of myomectomy scar pregnancy.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Stewart EA, Laughlin-Tommaso SK, Catherino WH, et al. Uterine fibroids. Nat Rev Dis Primers 2016; 2: 16043. - PubMed
    1. Paul PG, Mannur S, Shintre H, et al. Myomectomy scar pregnancy: a rare complication of myomectomy. J Gynecol Surg 2018; 34: 53–57.
    1. Park WI, Jeon YM, Lee JY, et al. Subserosal pregnancy in a previous myomectomy site: a variant of intramural pregnancy. J Minim Invasive Gynecol 2006; 13: 242–244. - PubMed
    1. Wong KS, Tan J, Ang C, et al. Myomectomy scar ectopic pregnancy. Aust N Z J Obstet Gynaecol 2010; 50: 93–94. - PubMed
    1. Bannon K, Fernandez C, Rojas D, et al. Diagnosis and management of intramural ectopic pregnancy. J Minim Invasive Gynecol 2013; 20: 697–700. - PubMed