scholarly journals OBSTETRIC GYNECOLOGICAL SOCIETY IN BERLIN. Meeting on January 8, 1892

2020 ◽  
Vol 6 (6) ◽  
pp. 603-612
Author(s):  
V. N. Massen

Mackenrodt presented a case of a bilateral tubal pregnancy, which he operated on with good success in November 1891. A 32-year-old patient, 6 years ago, got married for the first time and in the course of three years of her marriage gave birth 2 times safely and once there was a miscarriage. Since then, she was no longer pregnant. After the death of her first husband, she remained a widow for 2 years, then remarried. In May 1890, the regulations were absent, in June there were irregular bleeding and severe pain on the right side, and the temperature rose to 40 . The doctor diagnosed a right-sided ectopic pregnancy.

2021 ◽  
pp. 875647932199235
Author(s):  
Amber R. Matuzak

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.


Author(s):  
O. S. Nesterenko

The case of multiple ectopic tubal pregnancy is presented in the 5–6 weeks term. An expanded right uterine tube containing two embryos was found. The amniotic partition was not visualized. The uterus is located typically, increased to 7–8 weeks of gestation, due to decidual reaction. The right ovary was identified in a typical place, the yellow body in its projection was not visualized. The left ovary was determined behind the uterus, in its projection the reminding yellow body was defined.


2018 ◽  
Vol 14 (2) ◽  
pp. 96-99
Author(s):  
A. V. Dovgopolyy ◽  
Yu. V. Popov ◽  
N. S. Vanke ◽  
A. G. Kedrova ◽  
L. M. Kaganovskaya ◽  
...  

Ovarian pregnancy is a rare form of ectopic pregnancy, which causes a great diagnostic problem. One of the important risk factors for the development of ovarian pregnancy is the use of intrauterine spirals. The article presents the clinical case of ovarian pregnancy in a 35-yearold woman who underwent an implantation of fertilized egg in the ovary against the background of the vitreous spiral. Transvaginal ultrasonography showed the presence of echogenic formation in the right ovary, in the absence of data for tubal pregnancy.


2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Panayotis Xiromeritis ◽  
Chrysoula Margioula-Siarkou ◽  
Dimosthenis Miliaras ◽  
Ioannis Kalogiannidis

Tubal pregnancy concerns 97% of all ectopic pregnancies. Treatment can be either surgical (salpingostomy or salpingectomy) or medical (methotrexate administration). We present a case of a pseudotubal pregnancy after methotrexate treatment of a previous ectopic pregnancy. A37-year-old woman was diagnosed with ectopic pregnancy in the left Fallopian tube. A year ago, she had an ectopic pregnancy in the right tube, which was successfully treated with intramuscular methotrexate. During laparoscopy, two tubal masses were revealed, one in each Fallopian tube, and bilateral salpingectomy was performed. Histological analysis confirmed tubal pregnancy in the left Fallopian tube and presence of endosalpingitis in the right tube with no signs of chorionic villi. The optimal management of such cases has not yet been clarified. However, evaluation of tubal patency after a medically treated ectopic pregnancy would permit proper counsel of the patient on her fertility options, in order to choose the appropriate method of conception to achieve and accomplish a future pregnancy.


2020 ◽  
Vol 20 (4) ◽  
pp. 1895-7
Author(s):  
Nnabuike Chibuoke Ngene ◽  
Ongombe Lunda

Background: It is uncommon to find ampullary tubal pregnancy in the second trimester. Methods: A 35-year-old G4P3 at 16 gestational weeks presented with a day history of sudden severe lower abdominal pain and no vaginal bleeding. The patient had a normal pulse of 82/minutes, haemoglobin concentration of 6.3 g/dl and ultrasonography showed an empty uterus with an alive fetus in the right adnexa. She was provisionally diagnosed to have an abdominal pregnancy. Results: The patient had an emergency laparotomy where 2.2 L of haemoperitoneum and a slow-leaking right ampullary tubal pregnancy were found. Right total salpingectomy was performed and she had an uncomplicated post-operative fol- low-up. Histology of the lesion confirmed tubal pregnancy. Conclusion: The growth of a pregnancy in the ampulla beyond the first trimester is possibly due to increased thickness and or distensibility of the fallopian tube. A tubal pregnancy may present with a normal pulse despite significant haemorrhage. Keywords: Abdominal pain; ampullary tubal ectopic pregnancy; Bezold–Jarish-like reflex.


2021 ◽  
Vol 32 (5-6) ◽  
pp. 492-493
Author(s):  
G. N. Vaysburd

A large number of works are currently devoted to the issues of ectopic pregnancy, both in the periodic literature and in manuals where the chapter on ectopic pregnancy is highlighted in an independent section.


2020 ◽  
Vol 9 (7-8) ◽  
pp. 710-712
Author(s):  
M. Ginzburg

A woman who considered herself pregnant, on the 3rd month (11 / I 93) developed severe pain and collapse; Dr. N., suggesting that she had an ectopic pregnancy, found her in a tolerable state and postponed the operation for another day. For tomorrow, a thorough examination indicated: a slightly enlarged uterus lay in retroversion in the left half of the pelvis, no hemorrhage was felt in the peritoneum; therefore, Hart gave up the idea of ​​a ruptured tubal pregnancy and surgery. 10 days later, a little blood appeared from the dilated uterine cervix; Hart scraped out the uterus, found pieces of a falling membrane, which he attributed to a simple miscarriage.


2021 ◽  
Vol 20 (1) ◽  
pp. 43-45
Author(s):  
Efterpi Tingi ◽  
Helena Misiura ◽  
Mark Williams ◽  
Sunday Ajayi ◽  
Srisailesh Vitthala

The incidence of unilateral ectopic pregnancy (EP) is 1-2% with the tubal EP being the commonest. Bilateral tubal pregnancy occurs 1 in every 750 to 1,850 EP following assisted reproductive technologies. We present a case of bilateral tubal EP in a 28 year old woman who underwent intrauterine insemination with donor sperm.


2019 ◽  
Vol 12 (3) ◽  
pp. 229-237 ◽  
Author(s):  
Alban Revy ◽  
François Hallouard ◽  
Sandrine Joyeux-Klamber ◽  
Andrea Skanjeti ◽  
Catherine Rioufol ◽  
...  

Objective: Recent gallium-68 labeled peptides are of increasing interest in PET imaging in nuclear medicine. Somakit TOC® is a radiopharmaceutical kit registered in the European Union for the preparation of [68Ga]Ga-DOTA-TOC used for the diagnosis of neuroendocrine tumors. Development of a labeling process using a synthesizer is particularly interesting for the quality and reproducibility of the final product although only manual processes are described in the Summary of Product (SmPC) of the registered product. The aim of the present study was therefore to evaluate the feasibility and value of using an automated synthesizer for the preparation of [68Ga]Ga-DOTA-TOC according to the SmPC of the Somakit TOC®. Methods: Three methods of preparation were compared; each followed the SmPC of the Somakit TOC®. Over time, overheads, and overexposure were evaluated for each method. Results: Mean±SD preparation time was 26.2±0.3 minutes for the manual method, 28±0.5 minutes for the semi-automated, and 40.3±0.2 minutes for the automated method. Overcost of the semi-automated method is 0.25€ per preparation for consumables and from 0.58€ to 0.92€ for personnel costs according to the operator (respectively, technician or pharmacist). For the automated method, overcost is 70€ for consumables and from 4.06€ to 6.44€ for personnel. For the manual method, extremity exposure was 0.425mSv for the right finger, and 0.350mSv for the left finger; for both the semi-automated and automated method extremity exposure were below the limit of quantification. Conclusion: The present study reports for the first time both the feasibility of using a [68Ga]- radiopharmaceutical kit with a synthesizer and the limits for the development of a fully automated process.


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