Atypischer myometraner Flüssigkeitsverhalt in graviditate - intramurale Schwangerschaft oder degeneriertes Myom?

Translated title of the contribution: Atypical myometric fluid accumulation in graviditate - Intramural pregnancy or degenerated fibroid?

S. L. Nause, A. Schröer, K. Diedrich, J. Weichert*

*Corresponding author for this work

Abstract

We wish to discuss a case of suspected fluid accumulation within the anterior uterine wall in graviditate. The initial diagnosis of a rare intramural pregnancy could not be confirmed by 4+5 gestational weeks. Following removal of the fluid and establishing the diagnosis of degenerated fibroid(s), the advancing pregnancy was somewhat uneventful, whereas the uterine wall lesion showed continuing growth. Both during delivery (via Caesarean section) and on repeated sonographic scans post partum the clinical diagnosis of uterine wall fibroids could be confirmed. The present case illustrates the feasibility of expectant monitoring of atypical fybroids in pregnancy. Nevertheless, a thorough sonographic monitoring as well as comprehensive counselling of the gravida is mandatory. Potentially more serious differential diagnoses (intramural pregnancy, uterine sarcoma) should be born in mind.

Translated title of the contributionAtypical myometric fluid accumulation in graviditate - Intramural pregnancy or degenerated fibroid?
Original languageGerman
JournalZeitschrift fur Geburtshilfe und Neonatologie
Volume216
Issue number5
Pages (from-to)226-229
Number of pages4
ISSN0948-2393
DOIs
Publication statusPublished - 30.10.2012

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