What is it about?
Angular pregnancy is a rare obstetric condition characterized by the implantation of the gestational sac in the lateral uterine angle. We report the case of a 30-year-old patient, gravida IV para I, with a history of two spontaneous abortions treated by dilation and curettage and one previous vaginal delivery, presenting to the emergency department with acute pelvic pain and minimal vaginal bleeding at 18 weeks of gestation.
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Why is it important?
Transabdominal ultrasound revealed a non-viable fetus with no cardiac activity with an irregular presentation and suspicion of placenta accreta. An exploratory laparotomy confirmed the diagnosis of a right angular pregnancy complicated by placenta accreta. Surgical management included a hemihysterectomy. The surgery was completed without any further complications.
Perspectives
Angular pregnancy was first defined in 1898 by the American obstetrician Howard Kelly as the implantation of the embryo just medial to the utero-tubal junction, within the lateral angle of the uterine cavity near the proximal ostium of the fallopian tube [1]. This condition can lead to complications such as miscarriage, uterine rupture, placenta accreta, postpartum hemorrhage, and the need for hysterectomy.
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This page is a summary of: Late Angular Pregnancy at 18 Weeks of Gestation with Placenta Accreta: A Case Report and Review of the Literature, Journal of Case Reports and Medical History, February 2025, Acquire Publications LLC,
DOI: 10.54289/jcrmh2500106.
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