Cervical ectopic pregnancy: hysterectomy specimen examination clarifies the cause of first trimester pregnancy bleeding Carla Bartosch, M.D., Otília.

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Presentation transcript:

Cervical ectopic pregnancy: hysterectomy specimen examination clarifies the cause of first trimester pregnancy bleeding Carla Bartosch, M.D., Otília Brandão, M.D., Nuno Montenegro, M.D., Ph.D. Fertility and Sterility Volume 95, Issue 3, Pages 1091-1093 (March 2011) DOI: 10.1016/j.fertnstert.2011.01.139 Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 1 Ultrasound showing a very thin interface (4 mm) between the placenta and the bladder mucosa. B = bladder; F = fetal head; P = placenta. Fertility and Sterility 2011 95, 1091-1093DOI: (10.1016/j.fertnstert.2011.01.139) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Ultrasound showing the relationship between the placenta and the cervix. ECO = external cervical os; F = fetus; P = placenta within cervix. Fertility and Sterility 2011 95, 1091-1093DOI: (10.1016/j.fertnstert.2011.01.139) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 3 Hysterectomy specimen. (A) Enlarged cervix containing the fetus; (B) Area of perforation (arrow head) in the anterior cervical wall with exteriorization of placental tissue (arrow); and (C) External cervical os with polyp-like structure corresponding also to placental tissue (arrow). Fertility and Sterility 2011 95, 1091-1093DOI: (10.1016/j.fertnstert.2011.01.139) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions

Figure 4 Hysterectomy specimen after formaldehyde fixation (anterior and posterior halves). The placenta is implanted below the uterine arteries entrance (arrows) and extensively invades the cervical wall (white line). Orange line = isthmus; yellow line = cervical canal. Fertility and Sterility 2011 95, 1091-1093DOI: (10.1016/j.fertnstert.2011.01.139) Copyright © 2011 American Society for Reproductive Medicine Terms and Conditions