Similar but different: A comparison of rare site ectopic pregnancies

Bilateral tubal pregnancy (BTP) is a very rare form of ectopic twin gestation. Many times, they occur after the use of assisted reproductive therapy. Most cases of BTP are diagnosed during laparoscopy. This case report demonstrates a rare preoperative, sonography diagnosis of a spontaneous BTP which occurred after a tubal ligation. The sonogram revealed two corpus luteal cysts, both located on the right ovary, which suggests that the left tubal pregnancy most likely occurred as a result of ovum transmigration. This case demonstrates the important role that sonography plays in the early diagnosis of ectopic pregnancies as well as the importance of thoroughly examining the entire pelvis during a pelvic sonogram.

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Axillary artery: An unanticipated choice of access in the cath lab!

Asian Cardiovascular and Thoracic Annals ◽

10.1177/02184923211026445 ◽

2021 ◽

pp. 021849232110264

Author(s):

Puneet Varma ◽

Bharath A Paraswanath ◽

Anand Subramanian ◽

Jayaranganath Mahimarangaiah

Keyword(s):

Hospital Stay ◽

Heart Surgery ◽

Septal Defect ◽

Axillary Artery ◽

Open Heart Surgery ◽

Open Heart ◽

Ventricular Septal Defects ◽

Septal Defects ◽

Rare Site

Ventricular septal defects are increasingly being closed by transcatheter technique, with lesser morbidity and shorter hospital stay compared to open heart surgery. We report a case of embolization of a duct occluder deployed in a posterior muscular septal defect. The rare site of embolization necessitated an unusual approach for retrieval prior to subsequent closure using a double-disc device.

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Rare heterotopic pregnancy after frozen embryo transfer: a case report and literature review

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03214-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Xianping Wang ◽

Ding Ma ◽

Yangang Zhang ◽

Yanhua Chen ◽

Yuxia Zhang ◽

...

Keyword(s):

Embryo Transfer ◽

Left Kidney ◽

Frozen Embryo Transfer ◽

Heterotopic Pregnancy ◽

Psoas Major Muscle ◽

History Of ◽

Gestational Sac ◽

Β Hcg ◽

Ectopic Pregnancies ◽

Psoas Major

Abstract Background Heterotopic pregnancy occurred after frozen embryo transfer with two D3 embryos, and the case had a history of bilateral salpingectomy due to salpingocyesis. An ectopic heterotopic pregnancy was implanted in the left psoas major muscle, which has not been previously reported. Case presentation A 33-year-old woman presented with left back pain after curettage due to foetal arrest in the uterus without vaginal bleeding and spotting, and painkillers relieved the pain initially. When the painkillers ceased to work, the patient returned to the hospital. The β-human chorionic gonadotropin (β-hCG) level remained increased compared with the time of curettage, and a diagnosis of retroperitoneal abdominal pregnancy was suggested by ultrasonography and computerized tomography (CT) with the gestational sac implanted in the left psoas major muscle at the left hilum level. Laparotomy was performed to remove the ectopic pregnancy. During the operation, we carefully separated the adipose tissue between the space of the left kidney door and left psoas major muscle, peeled away the gestational sac that was approximately 50 mm × 40 mm with a 25-mm-long foetal bud, and gave a local injection of 10 mg of methotrexate in the psoas major muscle. Fifty days later, β-hCG decreased to normal levels. Conclusion It is necessary to pay more attention to the main complaints to exclude rare types of ectopic pregnancies of the pelvis and abdomen after embryo transfer.

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Common Tumour at a Rare Site: Colloid Goitre with Degenerative Changes in Cheek

Journal of Maxillofacial and Oral Surgery ◽

10.1007/s12663-020-01500-1 ◽

2021 ◽

Author(s):

Gyanaranjan Sahu ◽

Amanjot Kaur ◽

P. G. Gigi

Keyword(s):

Degenerative Changes ◽

Rare Site

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Rectal metastasis from bladder urothelial carcinoma: a case report

Surgical Case Reports ◽

10.1186/s40792-021-01186-8 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Yuki Ii ◽

Shinya Munakata ◽

Kumpei Honjo ◽

Masaya Kawai ◽

Shingo Kawano ◽

...

Keyword(s):

Urothelial Carcinoma ◽

Tumor Resection ◽

Disease Recurrence ◽

Small Areas ◽

Metastatic Urothelial Carcinoma ◽

Rare Site ◽

Difficult Defecation ◽

Carcinoma Of The Bladder ◽

Transitional Cells ◽

Rectal Metastasis

Abstract Background Urothelial carcinoma arises from transitional cells in the urothelial tract. In advanced cases, it can metastasize locally to surrounding organs or distally to organs such as the lungs, bones, or liver. Here we describe a case of rectal metastasis from urothelial carcinoma treated with multiple sessions of transurethral resection of bladder tumor (TURBT). Case presentation A 72-year-old woman presented to our department with abdominal bloating andobstructed defecation. She had undergone two sessions of TURBT for early urothelial carcinoma in another hospital at 64 and 65 months ago, respectively. Cystoscopy at 3 months after the second TURBT session had indicated disease recurrence, and thus, she had been referred to our hospital for further examination, followed by TURBT for the third time at 59 months ago and for the fourth time at 48 months ago; thereafter, she had been followed up with cystoscopy every 6 months without any recurrence. However, she returned to our hospital, complaining of difficult defecation. Subsequent colonoscopy demonstrated an obstructive tumor in the rectum, which was pathologically diagnosed as metastatic urothelial carcinoma of the bladder. Laparoscopic examination revealed two small areas of peritoneal dissemination in the pelvis. A sigmoid colostomy was performed without rectal tumor resection. She has been receiving chemotherapy and is still alive 10 months after surgery. Conclusions Rectal metastasis is a rare site of metastasis for urothelial carcinomas. It is important to consider the possibility of annular rectal constriction caused by infiltrating or metastasizing urothelial carcinoma when managing patients with urothelial carcinoma and with difficult defecation.

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