Zhao CY, Ye F. Live birth after hysteroscopy performed inadvertently during early pregnancy: A case report and review of literature. World J Clin Cases 2018; 6(12): 559-563 [PMID: 30397614 DOI: 10.12998/wjcc.v6.i12.559]
Corresponding Author of This Article
Chong-Yi Zhao, MD, Doctor, Department of Gynecology, First People’s Hospital of Yunnan Province, 157#, Jinbi Road, Kunming 650000, Yunnan Province, China. zhaochoy@hotmail.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Oct 26, 2018; 6(12): 559-563 Published online Oct 26, 2018. doi: 10.12998/wjcc.v6.i12.559
Live birth after hysteroscopy performed inadvertently during early pregnancy: A case report and review of literature
Chong-Yi Zhao, Feng Ye
Chong-Yi Zhao, Department of Gynecology, First People’s Hospital of Yunnan Province, Kunming 650000, Yunnan Province, China
Feng Ye, Department of Neurosurgery, People’s Hospital of Deyang City, Deyang 618000, Sichuan Province, China
Author contributions: Zhao CY designed the report and collected the clinical data; Ye F helped write and revise the paper.
Informed consent statement: A signed informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no conflicts of interests to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Chong-Yi Zhao, MD, Doctor, Department of Gynecology, First People’s Hospital of Yunnan Province, 157#, Jinbi Road, Kunming 650000, Yunnan Province, China. zhaochoy@hotmail.com
Telephone: +86-871-63624270 Fax: +86-871-63648772
Received: June 25, 2018 Peer-review started: July 2, 2018 First decision: July 29, 2018 Revised: August 21, 2018 Accepted: August 27, 2018 Article in press: August 28, 2018 Published online: October 26, 2018
ARTICLE HIGHLIGHTS
Case characteristics
It is inevitable to encounter a potential pregnancy under hysteroscopy during the follicular phase. Gentle and careful operation, timely identification of images under hysteroscopy and taking appropriate measures can benefit the patients to the largest extent.
Clinical diagnosis
Early pregnancy.
Differential diagnosis
Endometrial lesions.
Laboratory diagnosis
Urine pregnancy test confirmed the diagnosis of pregnancy.
Imaging diagnosis
Thickened and decidualized endometrium suggested a suspected diagnosis of early pregnancy.
Treatment
A follow-up of the patient until full-term delivery, without treatment or drug used.
Related reports
A few cases have been published on this issue. However, most of the patients in those cases underwent hysteroscopy during implantation phase and the images under hysteroscopy were normal. However, no hysteroscopic images were provided in these cases.
Term explanation
The levonorgestrel intrauterine system (LNG IUS) is a T-shaped, plastic, contraceptive IUS that releases the progestin hormone levonorgestrel into the uterus at a dose of 20 μg/d for up to five years. LNG IUS prevents pregnancy by thickening cervical mucus, inhibiting sperm motility, and suppressing the growth of the uterine wall.
Experiences and lessons
Consideration should be given to routine pregnancy testing of women with infertility before hysteroscopy, because scheduling on the basis of menstrual cycle dates can be unreliable. It is very important to perform hysteroscopy gently and carefully.
