Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
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
Processing time: 118 Days and 22.2 Hours
Abstract

Generally, hysteroscopy is not appropriate for pregnant women without an indication. What if a patient undergoes hysteroscopy accidentally during the early gestational period? We here report a rare case of a woman who continued pregnancy after a diagnostic hysteroscopy was performed in early pregnancy and delivered a healthy baby. The patient had a history of infertility and oligomenorrhea, probably due to a previous induced abortion. A hysteroscopy was performed after the end of her “menstruation” for assessment of her uterine cavity. Early pregnancy, instead of the expected intrauterine adhesions, was suspected, and the procedure was immediately ceased. Subsequent tests confirmed the diagnosis of pregnancy. She had a full-term delivery by elective caesarean section. The success of this case was attributed to the use of vaginoscopic techniques in hysteroscopy and correct judgment and decision-making during the procedure. This case report provides some useful methods and experience that might be helpful when a similar situation occurs in clinical practice.

Keywords: Gestation; Hysteroscopy; Livebirth; Ongoing pregnancy

Core tip: An intended pregnancy without any suspected abnormalities is a contraindication for hysteroscopy. Although hysteroscopy is often scheduled in the follicular phase, potential pregnancy is unavoidable, even in patients with a history of infertility. When the image under hysteroscopy is not so typical for a doctor to recognize and immediately confirm a state of pregnancy, gentle and careful operation along with appropriate measures can benefit the patients to the largest extent.