Angular pregnancy complicated with preterm labor at 25 gestational weeks of pregnancy.

Shin, Jae Eun; Kwon, Ji Young; Ki, Eun Young; Lee, Su Min; Shin, Jong Chul; Park, In Yang

doi:2010.53.4.360

Obstet Gynecol Sci > Volume 53(4); 2010 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2010;53(4):360-365.
DOI: https://doi.org/10.5468/kjog.2010.53.4.360 Published online April 1, 2010.

Angular pregnancy complicated with preterm labor at 25 gestational weeks of pregnancy.

Jae Eun Shin, Ji Young Kwon, Eun Young Ki, Su Min Lee, Jong Chul Shin, In Yang Park

Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea. ooooobbbbb@catholic.ac.kr

Abstract

Angular pregnancy refers to implantation of the embryo just medial to uterotubal junction in the lateral angle of the uterine cavity. This is differentiated from interstitial pregnancy in which the gestational sac is located within intramural portion of the tube. Angular pregnancy is categorized as intrauterine pregnancy and the outcome is known favorable. However, there have been few reports about adverse perinatal complications such as abortion, retained placenta, placenta accreta, placenta percreta and uterine rupture. We report a case of angular pregnancy complicated with preterm labor at 25 gestational weeks, placenta accreta and postpartum endometritis. This case suggests that angular pregnancy should be differentiated from normal intrauterine pregnancy because of its potential risk of adverse outcome.

Key Words: Angular pregnancy, Premature obstetric labor, Placenta accreta, Postpartum endometritis