Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

Ectopic pregnancy is a life-threatening condition occurring in 1-2% of all pregnancies. The most common site of implantation for an ectopic pregnancy is the fallopian tube. Authors report a case of recurrent ipsilateral ectopic pregnancy following right partial salpingectomy of a 29-Year-Old woman that led to tubal rupture. The pregnancy was conceived spontaneously. Diagnostic of ruptured ectopic pregnancy was done after clinical and ultrasonography examination. The presence of a massive hemoperitoneum with a positive pregnancy urinary test that lead us to the diagnosis of ectopic pregnancy. She underwent a laparotomy for a suspicion of ruptured ectopic pregnancy. The ectopic pregnancy was identified in the left remnant fallopian tube. Partial salpingectomy, removal of tubal stump, and resection of the uterine cornua, was performed. The postoperative recovery was uneventful. She has stayed for five days at the Hospital. All patients, even though they have already received a definitive contraception by tubal section and ligature or unilateral or by bilateral salpingectomy for any reason, must seek an ectopic pregnancy in case of pelvic pain, vaginal bleeding and/ or amenorrhea. Authors propose to carry a total salpingectomy after a chosen surgical treatment.

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Brain abscess due to Aggregatibacter aphrophilus and Bacteroides uniformis

Acta Medica Academica ◽

10.5644/ama2006-124.144 ◽

2015 ◽

Vol 44 (2) ◽

pp. 181

Author(s):

Maja Bogdan ◽

Vlasta Zujić Atalić ◽

Ivan Hećimović ◽

Dubravka Vuković

Keyword(s):

Magnetic Resonance Imaging ◽

Case Report ◽

Surgical Treatment ◽

Brain Abscess ◽

Neurological Deficit ◽

Resonance Imaging ◽

Aggregatibacter Aphrophilus ◽

Threatening Condition ◽

Life Threatening ◽

The Brain

Objective. The aim of this report was to describe the occurrence of a bacterial brain abscess in a healthy individual, without any predisposing condition. Case report. A thirteen-year old boy was admitted to the Department of Neurosurgery after the onset of vomiting, headache and dizziness. A neurological deficit was detected during the physical examination so urgent magnetic resonance imaging of the brain was performed, revealing an intrahemispheric, right positioned solitary expansive mass with ring enhancement. Purulent material was obtained during osteoplastic craniotomy with total extirpation of the brain abscess. Aggregatibacter aphrophilus and Bacteroides uniformis were isolated. The patient’s general condition improved and the neurological deficit subsided as a result of the prompt recognition and treatment of this life threatening condition. Conclusion. To achieve a favourable clinical outcome, prompt recognition and surgical treatment of a brain abscess are of primary importance,followed by administration of appropriate antimicrobial therapy. To our best knowledge, this is the first report of this combination of microorganisms as the cause of a brain abscess.

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Cervical Ectopic Pregnancy: Case Report

Journal of Bangladesh College of Physicians and Surgeons ◽

10.3329/jbcps.v25i2.376 ◽

1970 ◽

Vol 25 (2) ◽

pp. 92-94

Author(s):

Laila Parveen Banu ◽

Sameena Chowdhury ◽

Kohinoor Begum ◽

Ferdousi Islam ◽

Saria Tasnim

Keyword(s):

Case Report ◽

Ectopic Pregnancy ◽

Vaginal Bleeding ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Naked Eye ◽

Life Threatening ◽

Eye Examination ◽

Cervical Ectopic Pregnancy

A thirty year old lady para 3+0 presented with complaints of amenorrhoea for eight weeks and slight per vaginal bleeding for 28 days with frequent bouts of profuse bleeding. Total abdominal hysterectomy was done. Naked eye examination of the specimen was suggestive of cervical ectopic pregnancy (CEP). Histopathology report confirmed cervical implantation of placenta. CEP is an extremely rare life threatening form of ectopic pregnancy. (J Bangladesh Coll Phys Surg 2007; 25 : 92-94)

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Chronic Tubal Ectopic Pregnancy with Diagnostic Conundrum: A Case Report

International Journal of Science and Healthcare Research ◽

10.52403/ijshr.20210435 ◽

2021 ◽

Vol 6 (2) ◽

pp. 192-194

Author(s):

Vishal Sharma ◽

Ravi Dutt Wadhwa

Keyword(s):

Case Report ◽

Ectopic Pregnancy ◽

Gestational Age ◽

First Trimester ◽

Present Case Report ◽

Tubal Ectopic Pregnancy ◽

Threatening Condition ◽

Life Threatening ◽

First Trimester Of Pregnancy ◽

Ectopic Pregnancies

Ectopic pregnancy is a life threatening condition and mostly ectopic pregnancies occurs in fallopian tube. The most common site of ectopic tubal pregnancy is ampulla. Ectopic pregnancy is a complication of pregnancy and usually easy to diagnose by ultrasonography during the first trimester of pregnancy. Due to limited healthcare resources in developing countries, women do not undergo for ultrasound examination during pregnancy which leads to late diagnosis. In most of cases women with ectopic pregnancy are asymptomatic, unless ruptured. The mean gestational age for clinical presentation of ectopic pregnancy is 7.2 weeks after the last normal menstrual period. In rural population, late presentations of ectopic pregnancies are more commonly seen because of lack of modern diagnostic ability. Present case report is a rare case of non-viable, unruptured, tubal ampullary chronic ectopic pregnancy of 12 weeks gestational age. Keywords: Ectopic pregnancy, Unruptured, gestational age, ultrasonography.

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Disturbed Interstitial Pregnancy: A First Case of Successful Treatment Using a Mini-Laparoscopic Approach

Medicina ◽

10.3390/medicina55050215 ◽

2019 ◽

Vol 55 (5) ◽

pp. 215 ◽

Cited By ~ 2

Author(s):

Latchesar Tantchev ◽

Andrey Kotzev ◽

Angel Yordanov

Keyword(s):

Ectopic Pregnancy ◽

Fallopian Tube ◽

Laparoscopic Approach ◽

Massive Hemorrhage ◽

Interstitial Pregnancy ◽

First Case ◽

Threatening Condition ◽

Life Threatening ◽

Interstitial Ectopic Pregnancy ◽

Experienced Team

Interstitial ectopic pregnancy (EP) is a life-threatening condition due to the risk of massive hemorrhage in the event of its disturbance. We present the case of a 27-year-old patient who was admitted with massive hemoperitoneum, caused by the rupture of an interstitial pregnancy in the area of the fallopian tube stump, which had been removed after a previous ectopic pregnancy. The condition was overcome using a mini-laparoscopic approach (2.6 mm, 30° optics), with one 3 mm port for micro-laparoscopic instruments and one 10 mm port. Such an approach has not yet been reported in the available literature, among the casuistically reported cases of pregnancy in the tubal stump. We consider that the technique is safe, completely in the interest of the patient, applicable by an experienced team, and in agreement with modern trends regarding the minimization of operative access.

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Second Trimester Heterotopic Triplet Pregnancy with Intrauterine Twin Pregnancy and Ruptured Interstitial Pregnancy: A Maternal Near-Miss Case Report

Case Reports in Obstetrics and Gynecology ◽

10.1155/2020/5240848 ◽

2020 ◽

Vol 2020 ◽

pp. 1-3

Author(s):

Charles Nkurunziza ◽

Theogene Rurangwa ◽

Vincent Ngendahimana ◽

Urania Magriples

Keyword(s):

Case Report ◽

Ectopic Pregnancy ◽

Twin Pregnancy ◽

Near Miss ◽

Second Trimester ◽

Triplet Pregnancy ◽

Interstitial Pregnancy ◽

Threatening Condition ◽

Life Threatening ◽

Twin Pregnancies

Heterotopic pregnancy is defined as the occurrence of simultaneous intrauterine and extrauterine pregnancies. It is a rare, potentially life-threatening condition and infrequent in natural conceptions. Here, we report a case of spontaneous heterotopic triplet pregnancy with ruptured cornual ectopic pregnancy and simultaneous twin intrauterine pregnancies at 18 weeks of gestation. The event led to miscarriage of all fetuses from both the ectopic and the intrauterine twin pregnancies.

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Hysteroscopic treatment of cervical pregnancy: case report

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20200995 ◽

2020 ◽

Vol 9 (4) ◽

pp. 1710

Author(s):

Aarón Jiménez Valdez ◽

Sara Elia Hernadez Flores ◽

Jorge Arturo Barbabosa Vilchis ◽

Claudia Meixueiro Calderon

Keyword(s):

Risk Factors ◽

Case Report ◽

Surgical Treatment ◽

Ectopic Pregnancy ◽

Peritoneal Cavity ◽

Vaginal Bleeding ◽

Case Reports ◽

Cervical Pregnancy ◽

Ectopic Pregnancies ◽

Cervical Ectopic Pregnancy

Of ectopic pregnancies, cervical implantation pregnancy is an exceptional entity, corresponding to less than 1% of ectopic pregnancies. With an incidence calculated at 1: 2500 to 1: 12,000 pregnancies. The risk factors for cervical pregnancy are the same as for other ectopic pregnancies. This entity, a difference from tubaric pregnancy where bleeding is within the peritoneal cavity, the main risk is incoercible vaginal bleeding, which usually ends in a hysterectomy, which limits the reproductive future of patients. There are currently no established criteria for candidates for medical versus surgical treatment. This case reports a case of cervical ectopic pregnancy, treated with Methotrexate, and culminating with hysteroscopy resection.

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Heterotopic pregnancy; case report

National Journal of Research in Ayurved Science ◽

10.52482/ayurlog.v7i05.425 ◽

2019 ◽

Vol 7 (05) ◽

Author(s):

Vipul R. Khandagale

Keyword(s):

Risk Factors ◽

Ectopic Pregnancy ◽

Adnexal Mass ◽

Heterotopic Pregnancy ◽

Free Fluid ◽

Threatening Condition ◽

Life Threatening ◽

Ectopic Pregnancies ◽

High Index Of Suspicion ◽

Low Risk Women

Heterotopic pregnancy is a rare clinical condition in which intrauterine and extrauterine pregnancies occur at the same time. It can be a life threatening condition and easily missed with the diagnosis. We present the case of a 37 year old patient who was treated for a heterotopic pregnancy with live intrauterine gestation and ruptured left adnexal gestation.The ectopic pregnancy was not suspected at her initial presentation. A high index of suspicion is needed in women with risk factors for an ectopic pregnancy and in low risk women who have free fluid with or without an adnexal mass with an intrauterine gestation.It is difficult to estimate exactly the incidence of ectopic pregnancies, but on an average it is approximately 1:300 normal pregnancies worldwide.

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Car Windshield Wiper in the Brain: Case Report

The Surgery Journal ◽

10.1055/s-0036-1584170 ◽

2016 ◽

Vol 02 (02) ◽

pp. e42-e45

Author(s):

Zhenpeng Liu ◽

Xianzeng Hou ◽

Xiaoyong Fan ◽

Yuanyuan Hu ◽

Guangcun Liu

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Foreign Body ◽

Rare Case ◽

Metal Strip ◽

Postoperative Treatment ◽

Metallic Foreign Body ◽

Windshield Wiper ◽

Life Threatening ◽

The Brain

Background Transorbital intracranial penetrating injury is rare. Damage caused by a huge metallic foreign body is very critical and life-threatening. Method We report an extremely rare case of transorbital intracranial penetrating metal strip (a car windshield wiper), which has not previously been reported in the literature. Results Emergency craniotomy was performed; the object was removed successfully, and the patient's life was saved. Conclusion With the life-threatening penetrating brain injury caused by a huge foreign body, prompt surgical treatment and comprehensive postoperative treatment are important to save patients' lives.

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Incidental amniocele in a case of antepartum haemorrhage

South African Journal of Radiology ◽

10.4102/sajr.v24i1.1817 ◽

2020 ◽

Vol 24 (1) ◽

Author(s):

Sheree C. Gray ◽

Jacobus A. Pienaar ◽

Zelia Sofianos ◽

Jacob Varghese ◽

Ilonka Warnich

Keyword(s):

Case Report ◽

Early Identification ◽

Uterine Rupture ◽

Placenta Previa ◽

Morbidity And Mortality ◽

Severe Morbidity ◽

Antepartum Haemorrhage ◽

Threatening Condition ◽

Life Threatening

An amniocele, or contained uterine rupture, is a phenomenon in which there is herniation of the amniotic sac through a uterine defect, secondary to various causes. It is associated with severe morbidity and mortality. This case presents the findings in a 36-year-old female at 29 weeks gestation who was initially managed as antepartum haemorrhage secondary to placenta previa, based on ultrasound. Upon further imaging, an amniocele was diagnosed. This case report illustrates the importance of early identification of this life-threatening condition.

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