Evidence map›Paper›PMID 41586255›Full record

ArticleO&G open2026

Management of a Uterosacral Ligament Ectopic Pregnancy With Presence of an Intrauterine Device.

Sarah Y Cohen, Barbara Blachut

Abstract readCase Reports
In one paragraph

Article in O&G open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Sarah Y CohenDepartment of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri.
Barbara BlachutDepartment of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEctopic pregnancy outside of the fallopian tubes is rare and increases the risk of severe maternal morbidity. Extratubal pregnancies frequently pose diagnostic challenges. We describe a case of an ectopic pregnancy implanted on the uterosacral ligament. CASE: A 30-year-old primigravid patient with an intrauterine device (IUD) presented for management of an ectopic pregnancy without a clearly understood implantation site after an unsuccessful laparoscopic salpingo-oophorectomy at another facility. Repeat laparoscopy identified the pregnancy implanted on the left uterosacral ligament. Pathology confirmed pregnancy tissue, and the patient's β-hCG decreased appropriately.

conclusionIn the presence of an IUD, serial monitoring is imperative given the high risk of ectopic pregnancy. Ectopic pregnancy management requires careful follow-up of pathology and serial β-hCG. Meticulous intraoperative evaluation can help avoid reoperation.

Identifiers

PMID41586255
PMCPMC12829682

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.