scholarly journals Two cases of ectopic pregnancy

2020 ◽  
Vol 6 (1) ◽  
pp. 52-53
Author(s):  
F. Kuhn
Keyword(s):  
Ectopic Pregnancy ◽  
Genital Tract ◽  
The Past ◽  
Fetal Movements ◽  
Mild Fever

Mrs. F. 44 years old, 25 years old married; two miscarriages and 6 normal births, the last birth in August 1884. Amenorreya from January 1890 to August inclusive. In July, within two weeks, watery discharge from the genital tract. Over the past months, the breasts have swollen, but in August they fell off again. Severe at times abdominal pains stopped along with the cessation of fetal movements. In September, mild fever. When investigated, an asymmetric semi-dense tumor is found in the abdomen.

scholarly journals Dynamic laparascopy as a stage of hospital rehabilitation in patients with tubal pregnancy

2005 ◽  
Vol 54 (5S) ◽  
pp. 33-34
Author(s):  
Е. V. Shipitsyna ◽  
А. V. Novikov ◽  
К. V. Shalepo ◽  
V. F. Bezhenar ◽  
А. М. Savicheva
Keyword(s):  
Chlamydia Trachomatis ◽  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Tubal Pregnancy ◽  
Tubal Infertility ◽  
Chlamydia Trachomatis Infection ◽  
Hospital Rehabilitation

Objectives: Chlamydia trachomatis infection of the upper genital tract often results in pelvic inflammatory disease (PID), and its sequels include ectopic pregnancy (EP), miscarriage and tubal infertility. This study was aimed to evaluate the rate of C. trachomatis detection as well as anti-C trachomatis antibodies in women with EP.

scholarly journals A clinical study on ectopic pregnancy

2017 ◽  
Vol 5 (11) ◽  
pp. 4776
Author(s):  
Mamata Soren ◽  
Ranjita Patnaik ◽  
Bismoy Kumar Sarangi
Keyword(s):  
Ectopic Pregnancy ◽  
Reproductive Age ◽  
Medical Emergency ◽  
Diagnostic Tools ◽  
Age Group ◽  
Lower Abdomen ◽  
The Past ◽  
Surgical Emergencies ◽  
Β Hcg ◽  
Reproductive Age Group

Background: Ruptured ectopic pregnancy is a medical emergency; therefore, it is imperative to diagnose the unruptured ectopic pregnancy such that timely intervention will prevent morbidity and mortality Today with availability of monoclonal β-HCG, high resolution transvaginal scan and laparoscopy it is possible to make early diagnosis even before rupture.Methods: Prospective study of two years duration with sample of 72 cases of suspected ectopic pregnancy observed and treated out of total 20193 pregnant women admitted were included in this study.Results: The incidence was 0.36%, maximum between the age group of 26-30 years (33.3%). Risk factors were tubectomy (30.56%), D and C (6.94%), PID (5.6%), previous ectopic (1.39%), IUCD (2.78%). The typical triad of amenorrhoea, pain abdomen and bleeding was observed in 54.2% of cases. 19 patients were brought in shock (26.4%). Ultrasonography done in 56 cases.Conclusions: There is an increase in the incidence of ectopic pregnancy but a decrease in maternal mortality during the past two decades. Although the early diagnostic tools were available, we had to manage most of our patients as surgical emergencies, as they were brought late in the trial, with established diagnosis of ruptured ectopic pregnancy. Physicians should be sensitive to the fact that in the reproductive age group any women presenting with pain in the lower abdomen, diagnosis of ectopic pregnancy should be entertained irrespective of the presence or absence of amenorrhoea, whether or not she has undergone sterilization. 

scholarly journals GYNAECOLOGICAL EMERGENCIES

2007 ◽  
Vol 14 (01) ◽  
pp. 43-49
Author(s):  
SARDAR Ali ◽  
SYED TAHIR AHMAD SHAH
Keyword(s):  
Ectopic Pregnancy ◽  
Genital Tract ◽  
Diagnostic Tools ◽  
Age Group ◽  
Delayed Wound Healing ◽  
Surgical Practice ◽  
Operative Care ◽  
Surgical Ward ◽  
Erroneous Diagnosis ◽  
Almost All

in all the patients. More specific investigations were performed where required. All the patients were resusscitated and operative treatment; where required; was performed under general anesthesia at the earliest possible time. The surgical procedure was tailored according to the circumstances. Further management, conservative or post operative care was done in surgical ward. Results: Pelvic Inflammatory Disease (PID) which is the inflamation of upper genital tract with its complications like pelvic cellulitis and pelvic peritonitis was the most common (40.9%) emergency. The age group between 16 to 30 years was the commonest having gynaecological problems. There was a clear predilection of married than unmarried females facing these problems. Because of lack of experience and limited diagnotistic facilities erroneous diagnosis was made to some extent in almost all the cases. 55.55% of patients suffering from PID were treated successfully by conservative means. Surgical procedurewas performed in all the patients (100%) suffering from ruptured ectopic pregnancy, perforated uterus and torsion of ovarian cyst and pedunculated subserosal fibroid. Wound infection and delayed wound healing were among the most common postoperative complications. Mortality occurred in ectopic pregnancy (16.66%) and PID (5.55%). Conclusion: The different gynaecological problems are commonly encounteredin general surgical practice. The surgeons often fall in this un-wary trap because of (1) close resemblance of clinical features (2) less exposure to gynaecological problems (3) non availability of more sophisticated diagnostic tools in emergency. The overall sufferings of patients can be reduced to some extent by overcoming these shortcomings.

scholarly journals Rare primary abdominal ectopic pregnancy in the pouch of Douglas

2019 ◽  
Vol 12 (6) ◽  
pp. e228547
Author(s):  
Joshua Baji Thomas
Keyword(s):  
Ectopic Pregnancy ◽  
Chorionic Gonadotrophin ◽  
Human Chorionic Gonadotrophin ◽  
Pelvic Ultrasound ◽  
The Past ◽  
History Of ◽  
Background History ◽  
Pouch Of Douglas ◽  
Gestational Sac ◽  
Trophoblastic Tissue

A 35-year-old Nepalese woman, referred by her general practitioner for per vaginal spotting and abdominal pain for the past 12 days with a background history of 5 weeks of amenorrhoea and a quantifiable beta-human chorionic gonadotrophin of 18 900 IU/L. Subsequent pelvic ultrasound revealed a cystic lesion with peripheral vascularity in the pouch of Douglas indicating possible ectopic pregnancy with no intrauterine gestational sac seen. Subsequent to that, she underwent a diagnostic laparoscopy that revealed 150 mL of blood in the pouch of Douglas with no other obvious evidence of tubal or ovarian ectopic pregnancy seen. There was, however, a resemblance of trophoblastic tissue noted on the wall of the pouch of Douglas that was further investigated to reveal a primary ectopic pregnancy of the pouch of Douglas with no trophoblastic infiltration.

scholarly journals Caspase-1 Contributes to Chlamydia trachomatis-Induced Upper Urogenital Tract Inflammatory Pathologies without Affecting the Course of Infection

2007 ◽  
Vol 76 (2) ◽  
pp. 515-522 ◽  
Author(s):  
Wen Cheng ◽  
Pooja Shivshankar ◽  
Zhongyu Li ◽  
Lili Chen ◽  
I-Tien Yeh ◽  
...  
Keyword(s):  
Chlamydia Trachomatis ◽  
Ectopic Pregnancy ◽  
Inflammatory Cytokines ◽  
Host Defense ◽  
Genital Tract ◽  
Chlamydial Infection ◽  
Caspase 1 ◽  
Inflammatory Damage ◽  
Deficient Mice

ABSTRACT Chlamydia trachomatis infection induces inflammatory pathologies in the upper genital tract, potentially leading to ectopic pregnancy and infertility in the affected women. Caspase-1 is required for processing and release of the inflammatory cytokines interleukin-1β (IL-1β), IL-18, and possibly IL-33. In the present study, we evaluated the role of caspase-1 in chlamydial infection and pathogenesis. Although chlamydial infection induced caspase-1 activation and processing of IL-1β, mice competent and mice deficient in caspase-1 experienced similar courses of chlamydial infection in their urogenital tracts, suggesting that Chlamydia-activated caspase-1 did not play a significant role in resolution of chlamydial infection. However, when genital tract tissue pathologies were examined, the caspase-1-deficient mice displayed much reduced inflammatory damage. The reduction in inflammation was most obvious in the fallopian tube tissue. These observations demonstrated that although caspase-1 is not required for controlling chlamydial infection, caspase-1-mediated responses can exacerbate the Chlamydia-induced inflammatory pathologies in the upper genital tract, suggesting that the host caspase-1 may be targeted for selectively attenuating chlamydial pathogenicity without affecting the host defense against chlamydial infection.

scholarly journals Cervical Ectopic Pregnancies after Spontaneous Conception: Case Reports

2018 ◽  
Vol 1 (1) ◽  
pp. 95-99
Author(s):  
Simona Anzhel Georgieva ◽  
Emil Georgiev Kovachev ◽  
Zhyvko Stoyanov Zhekov ◽  
Stefan Vasilev Kisyov ◽  
Tsvetkov K ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Ultrasound Examination ◽  
Case Reports ◽  
Cervical Region ◽  
Risk Awareness ◽  
Rare Form ◽  
The Past ◽  
Life Threatening ◽  
Endocervical Canal ◽  
Ectopic Pregnancies

Cervical pregnancy (CP) is a rare form of ectopic pregnancy (< 1%) located on the lining of the endocervical canal with frequency at about 1 in 1 000 to 1 in 18 000 deliveries. Cervical gestation is extremely rare beyond 20 weeks and there are few reports in the literature of vaginal live birth with a high mortality risk. Awareness and early diagnosis is essential due to the possibility of a life-threatening hemorrhage, treated with hysterectomy in the past. Cervical ectopic pregnancy can be mistaken on ultrasound examination with similar pathologies and due to the differences in the management and the outcome an accurate diagnosis is of a great importance. Authors describe two cases of ectopic pregnancies in the isthmico-cervical region successfully terminated with a nonsurgical approach.

Evaluation of the recurrence and fertility rate following salpingostomy in patients with tubal ectopic pregnancy

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Tahereh Poordast ◽  
Zahra Naghmehsanj ◽  
Razie Vahdani ◽  
Shaghayegh Moradi Alamdarloo ◽  
Mohammad Ali Ashraf ◽  
...  
Keyword(s):  
Tract Infection ◽  
Ectopic Pregnancy ◽  
Genital Tract ◽  
Maternal Age ◽  
Previous History ◽  
Fertility Rate ◽  
Genital Tract Infection ◽  
Cross Sectional ◽  
Tubal Ectopic Pregnancy ◽  
History Of

Abstract Background Ectopic pregnancy is one of the leading causes of pregnancy-related mortality; the treatment strategies associated with this condition entail complications, such as recurrence of ectopic pregnancy or infertility. The objective of this study was to evaluate the recurrence and fertility rate after salpingostomy in patients with tubal ectopic pregnancy. Methods This cross-sectional retrospective study was conducted at four referral centers of Obstetrics and Gynecology, under the supervision of Shiraz University of Medical Sciences (Iran). The medical records of 125 patients with tubal pregnancy were reviewed. These patients underwent laparoscopic salpingostomy from April 2009 to March 2016.Data on maternal age, BMI, history of previous EP, genital tract infection, IUD insertion, history of previous surgery, and infertility were further obtained. The patients were followed up for approximately 1 to 7 years. The recurrence of EP and subsequent pregnancy rate were assessed during the follow-up period. Results There was no statistically significant relationship between post-salpingostomy recurrence and maternal age, previous abdominopelvic surgery, and history of infertility(P = .425); however, the post-salpingostomy recurrence of EP was correlated with BMI (P = 0.001), previous history of EP (P = 0.001), genital tract infection (P = 0.001), and IUD insertion (P = 003). Among 95 women who had no contraception, pregnancy occurred in 51 cases (53.6%) and recurrence of EP was observed in 16 patients (12.8%). Conclusions Our results suggest that salpingostomy is a safe method with a low risk of recurrence and good fertility outcomes for women who consider future pregnancy.

scholarly journals Clinical materials for the doctrine of tubal pregnancy

2020 ◽  
Vol 9 (6) ◽  
pp. 501-557
Author(s):  
A. A. Dranitsyn
Keyword(s):  
Ectopic Pregnancy ◽  
Tubal Pregnancy ◽  
Scientific Development ◽  
Significant Development ◽  
Extrauterine Pregnancy ◽  
The Past ◽  
Full Development ◽  
Rare Phenomenon ◽  
Incomplete Miscarriage

Ectopic pregnancy, in which the fetus reaches full development, as with the correct urgent pregnancy, is a relatively rare phenomenon; more often it is encountered that the fetus dies after reaching only more or less significant development; The greatest percentage of non-self-conception falls on those cases when the embryo dies in the very beginning of its life. This form of disease by extrauterine pregnancy, that is, when the egg ceases to exist in the early periods and, therefore, when there is a regressive process, so to speak, an extrauterine incomplete miscarriage, is at the same time the greatest difficulty in the diagnostic relationship. The latter, perhaps, was the reason that in the past this kind of painful process was diagnosed less often than in the present, and comparatively only very recently it attracted due attention of gynecologists and underwent scientific development.

scholarly journals Ectopic Pregnancy - Is It Always a Threat to A Woman’s Life?

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Risk Factors ◽  
Laparoscopic Surgery ◽  
Ectopic Pregnancy ◽  
Pelvic Inflammatory Disease ◽  
Fallopian Tube ◽  
Inflammatory Disease ◽  
The Past ◽  
Internal Bleeding

Ectopic pregnancy is a condition in which the fertilized ovum implants outside the uterus or attaches to an abnormal portion of the uterus, like cervix, cornea, myometrium. Such state occurs in 2% of all reported pregnancies. There are plenty of risk factors for this state. Fallopian tube surgery in the past, pelvic inflammatory disease is one of them. Undiagnosed ectopic pregnancy may lead to serious complications, like rupturing of the fallopian tube and massive internal bleeding. We would like to present a case, in which the patient was not aware of being pregnant, until she got the histopathology results after laparoscopic surgery because of tumor in the rectouterine pouch.

scholarly journals Tubal recanalisation-microsurgical tubal reversal anastomosis

2018 ◽  
Vol 5 (12) ◽  
pp. 3873
Author(s):  
M. K. Rajendran
Keyword(s):  
Ectopic Pregnancy ◽  
Success Rate ◽  
Pregnancy Rate ◽  
Age Group ◽  
Intrauterine Pregnancy ◽  
The Past ◽  
Long Duration ◽  
Layer Technique ◽  
Loupe Magnification ◽  
Basic Investigation

Background: Nowadays, in India, to control population, we are strictly following permanent methods of sterilization after one or two children. Because of some unfortunate things like RTA or some natural calamities, some parents have lost one or both the children in that situation. To study the outcome of the procedure patency of the tube, complications, pregnancy if happens during the study period.Methods: Totally 65 female patients were included in the study. Authors have the patients for past 18 years including post tubectomy patients with is variable age and duration after sterilization and all methods of sterilization except fimbriectomy. For all cases, we have done all basic investigation, USG, and HSG.Results: Totally 65 patients are followed regularly from 2008. The success rate (pregnancy rate) is >90%. In these patients, pregnancy outcome was in form of intrauterine pregnancy (90%) ectopic pregnancy (2%), term viable pregnancy (3%) and spontaneous abortion (less than 1%).Conclusions: In the past, in most of the studies, the success rate (pregnancy rate) is more in the age group of <30 years. But in present study even in >30 years age and any long duration of the post-sterilization period, the success rate is more, because the two-layer technique 8-0 prolene under loupe magnification is the leading factor for the success rate (pregnancy rate).

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