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Embryoscopy and targeted embryo biopsy for the management of early abortion.

J Assist Reprod Genet

January 2025

Centro de Asistencia a La Reproducción Humana de Canarias, La Laguna, Santa Cruz de Tenerife, Spain.

Purpose: To evaluate the safety, accuracy, and effectiveness of embryoscopy for the management of early abortion and to test the hypothesis that targeted embryo and chorionic villi sampling avoids maternal cell contamination (MCC) for genetic testing of products of conception (POC).

Methods: This ambispective study included 74 consecutive patients presenting with early abortion. Gestations between 5 and 9 weeks, obtained either spontaneously or through assisted reproductive technologies were included.

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Heterotopic pregnancy is defined as the concurrent presence of both an intrauterine pregnancy and an extrauterine (typically ectopic) pregnancy. This report presents the case of a 36-year-old female patient who presented to the emergency department with lower abdominal pain. A comprehensive evaluation, including transabdominal and transvaginal ultrasound imaging, revealed a heterotopic pregnancy at an estimated gestational age of six weeks and two days.

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Background/aim: Cesarean section (CS) is a widely performed operation worldwide but data about uterine closure are lacking. We aimed to evaluate scar niches and compare single-layer and double-layer uterine closure at 6 months following CS.

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Spontaneous transvaginal small bowel evisceration, without recent trauma or surgery, is extremely rare. Complications include bowel obstruction, perforation, gangrene, septicaemia and death, requiring urgent surgical intervention. We report a case of a woman in her late 60s, who presented with 70-75 cm of small intestine eviscerated through the vagina, alongside a long history of uterine and rectal prolapse.

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Article Synopsis
  • - A rare case of right interstitial pregnancy occurred in a 32-year-old woman who had previously undergone a salpingo-oophorectomy, leading to an emergency room visit due to suspected ectopic pregnancy.
  • - After various diagnostic procedures, including ultrasound and hysteroscopy, the patient underwent a successful robot-assisted laparoscopic surgery to remove the interstitial pregnancy while preserving her fertility.
  • - The exact cause of this rare pregnancy is unclear, but it may involve fertilization in the intact tube and possible changes in the remaining tubal tissue that allowed the oocyte to implant.
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