scholarly journals Primary ovarian ectopic pregnancy: early diagnosis is the key

2019 ◽  
Vol 8 (12) ◽  
pp. 5043
Author(s):  
Priyanka H. Vora ◽  
Rana A. Choudhary ◽  
Kedar N. Ganla
Keyword(s):  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Uterine Cavity ◽  
Rare Condition ◽  
Fallopian Tubes ◽  
Primary Infertility

Ectopic pregnancy means implantation of the embryo outside the uterine cavity. It may occur in the fallopian tubes, ovaries or the cervix. Primary ovarian ectopic is a very rare condition. In such cases preservation of ovary is extremely important, particularly in patients with infertility. We report a case of primary ovarian ectopic which was managed conservatively in a patient of primary infertility. Preservation of ovary is extremely important, particularly in patients with infertility.

scholarly journals Unsual Tubal Twin Ectopic Gestation Report of Three Different Cases

2018 ◽  
Vol 1 (3) ◽  
pp. 96-103
Author(s):  
S Gosavi Maheshgir ◽  
Keyword(s):  
Ectopic Pregnancy ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Rare Condition ◽  
Fallopian Tubes ◽  
Tubal Ectopic Pregnancy ◽  
Ectopic Gestation ◽  
First Case ◽  
History Of ◽  
Twin Pregnancies

Gestation outside the uterine cavity in which the implantation occurs in any tissue other than the endometrium is referred as ectopic pregnancy. The most places for occurring ectopic pregnancy (97% of cases) are the fallopian tubes including ampulla (55%), isthmus (25%), and fimbria (17%), and in 3% of patient’s ectopic pregnancy occurs in the abdominal cavity, ovary, or cervix. The tubal twin ectopic pregnancy is a rare condition, and the first unilateral tubal twin was reported by De Ott in 1891, and the first live twin tubal ectopic pregnancy was reported in 1944. A live tubal twin ectopic pregnancy is a very rare condition and among >100 reports of tubal twin pregnancies, till now, only 8 cases were live. Early diagnosis and treatment of women with tubal twin ectopic pregnancy is very important and may decrease the risk of tubal rupture. I present three cases of tubal twin ectopic gestation. In the first case, spontaneous unilateral live tubal twin ectopic gestation. The second and third cases spontaneous ruptured twin ectopic gestation. All three cases were successfully managed and there was no history of assisted reproductive techninique fertilization or pelvic inflammatory disease.

Infrahepatic Implantation of an Ectopic Pregnancy

2021 ◽  
pp. 1-3
Author(s):  
Peter Kern ◽  
Paula Ulrich ◽  
Rainer Kimmig ◽  
Peter Kern
Keyword(s):  
Ectopic Pregnancy ◽  
Close Contact ◽  
Blood Clot ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Greater Omentum ◽  
Free Fluid ◽  
Fallopian Tubes ◽  
Lower Abdomen ◽  
The Right

Background: Ectopic pregnancies occur predominantly in the fallopian tubes or ovaries. Very rarely, the distal part of the greater omentum may have close contact to the fallopian tubes and implantation of the embryo may occur in this part of the greater omentum. In the absence of signs of pregnancy in the uterus or the fallopian tubes, the greater omentum has to be closely examined for ectopic pregnancy. Case Presentation: A 22-year-old woman in her 4th week of pregnancy presents with spotting and severe pain in the right lower abdomen with a history of 2 cesarean sections. The sonographic examination showed a normal uterus with a thin endometrial line. The uterine cavity did not present with any signs of a gestational sac. A great amount of free fluid in the Douglas cavity suspicious of a hemoperitoneum. ßhCG-values in serum was highly elevated up to 16749 mU/ml and confirmed the suspicion of an ectopic pregnancy. A diagnostic laparoscopy was performed, during which a blood clot reaching from the right lower abdomen to the greater omentum was detected. After removing the blood clot, a normal-sized uterus with regular ovaries and no signs of a pregnancy in the fallopian tubes were seen. However, an abdominal adhesion in the right upper part of the omentum close to the liver with bleeding was seen. While examining the abdominal cavity for the cause of bleeding, a small cystic lesion adherent to the greater omentum – close the offspring from the colon – representing an ectopic pregnancy became apparent. A partial omentectomy of 9,5 cm x 5,5 cm x 2,5 cm was performed with the finding of trophoblast and embryoblast implantated in the infrahepatic part of the greater omentum. Conclusion: In cases of ectopic pregnancy with hemoperitoneum, special care has to be taken examining not only the fallopian tubes or ovaries but also the greater omentum, which may harbour an implanted trophoblast and embryoblast – even in the upper part directly beneath the liver – as presented in this case. In cases of ruptured ectopic pregnancy of the greater omentum, the cases may be dealt with laparoscopic partial omentectomy if the case is early detected.

scholarly journals HUBUNGAN UMUR DAN PARITAS IBU HAMIL DENGAN KEJADIAN KEHAMILAN EKTOPIK TERGANGGU DI RSUD ARIFIN ACHMAD PEKANBARU

2018 ◽  
Vol 11 (2) ◽  
pp. 183-187
Author(s):  
Ani Triana
Keyword(s):  
Ectopic Pregnancy ◽  
Total Population ◽  
Uterine Cavity ◽  
Secondary Data ◽  
Fallopian Tubes ◽  
Bivariate Data ◽  
Care Services ◽  
Relationship Of ◽  
The Relationship ◽  
Bivariate Data Analysis

An ectopic pregnancy is a pregnancy that occurs outside the uterine cavity. Ectopic pregnancy is an experienced abortion referred to as ruptured ectopic pregnancy. Based on data from the WHO in 2003 there was 1 in 250  (0.04%) births in the world suffer from an ectopic pregnancy, the gestational type of ectopic pregnancy is the fallopian tubes, the majority (80%) experienced by women at the age of 30 years and above and reported that 60% experienced by women with a first pregnancy and the second aim of this study was to determine the relationship of maternal age and parity with the incidence of KET Arifin Achmad Hospital in Pekanbaru. This type of analytic studies (case-control). Population of 114 people with a total population of retrieval techniques as 57 for case and 57 for controls, using secondary data, in room Seagull III and Medical Records. Bivariate data analysis is performed with computerized as a benchmark for the discussion and conclusions. The result showed that there are age and parity relationship with the incidence of ruptured ectopic pregnancy in hospitals Arifin Achmad Pekanbaru In 2012, at the age of Pvalue 0.024 <α 0.05 and Pvalue parity of 0.023 <α 0.05. Arifin Achmad hospital is expected to provide midwifery services through antenatal care services in early detection of emergency obstetric

scholarly journals A case report on ruptured interstitial ectopic pregnancy: diagnostic dilemma

2019 ◽  
Vol 8 (6) ◽  
pp. 2567
Author(s):  
Suman S. Sharma ◽  
A. V. Gokhale ◽  
Shonali Agrawal
Keyword(s):  
Ectopic Pregnancy ◽  
Broad Ligament ◽  
Rare Event ◽  
Uterine Cavity ◽  
Fallopian Tubes ◽  
Diagnostic Challenge ◽  
Diagnostic Dilemma ◽  
Radiological Features ◽  
Gestational Sac ◽  
Interstitial Ectopic Pregnancy

The ectopic pregnancy occurs when implantation of the blastocyst takes place in a site other than the endometrium of the uterine cavity. Interstitial ectopic pregnancies are gestations that implant within the proximal, intramural portion of the fallopian tubes with high vascularity. Ectopic pregnancy in the interstitial part of the fallopian tubes can be life-threatening considering the thin myometrial tissue surrounding the gestational sac and high vascularization which may result in catastrophic haemorrhage when interstitium is ruptured. Being a hazardous type of ectopic pregnancy, it becomes extremely important to diagnose and manage it. This condition presents a challenge for clinical as well as radiological diagnosis. Generally, a case of interstitial ectopic pregnancy has typical radiological features distinguishing it from other ectopic. The ultrasonographic finding of interstitial line has better sensitivity (80%) and specificity (98%) than eccentric gestational sac location (sensitivity, 40%; specificity, 88%) and myometrial thinning (sensitivity, 40%; specificity, 93%) for the diagnosis of interstitial ectopic pregnancy. Ultrasound is the mainstay of diagnosis, but magnetic resonance imaging can be helpful in unusual or complicated cases. Interstitial ectopic pregnancy rupturing into the leaves of broad ligament and creating a tamponade effect to alter the clinical presentation is a rare event which presents as a diagnostic challenge. Here authors present a case of ruptured interstitial ectopic pregnancy confined to the leaves of broad ligament, with atypical presentation and radiological features which led to difficulty in diagnosing the interstitial ectopic pregnancy. After laparoscopic confirmation of ruptured interstitial ectopic pregnancy, the patient was managed successfully by laparoscopic cornual resection.

scholarly journals Case report on toxicity of methotrexate in tubal ectopic pregnancy

2020 ◽  
Vol 9 (7) ◽  
pp. 3093
Author(s):  
Surbhi Lodha ◽  
Kimaya Mali
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Patient Selection ◽  
Uterine Cavity ◽  
Tubal Ectopic Pregnancy ◽  
Treatment Use ◽  
Medical Line ◽  
Timely Treatment

Ectopic pregnancy is defined as pregnancy outside uterine cavity. Of all ectopic pregnancy, tubal ectopic is most common. Most cases today are diagnosed early and hence timely treatment is possible. In stable patients, medical line of management with methotrexate can be used. With early diagnosis and medical line of treatment, use of injectable methotrexate is on rise. Being aware of characteristics of methotrexate like mechanism, dosage, side effects and contraindications, appropriate patient selection and watchful monitoring will help reduce methotrexate induced toxicity.

Hormonal Biochemical Markers in Ectopic Pregnancy Monitoring

2018 ◽  
Vol 69 (6) ◽  
pp. 1558-1561
Author(s):  
Anca Daniela Braila ◽  
Cringu Antoniu Ionescu ◽  
Alina Calin ◽  
Anca Emanuela Musetescu ◽  
Cristian Lungulescu ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Young Women ◽  
Biochemical Markers ◽  
Biochemical Marker ◽  
Uterine Cavity ◽  
Tubal Ectopic Pregnancy ◽  
Methotrexate Treatment ◽  
Therapeutic Behavior ◽  
Late Stages

Ectopic pregnancy is a polymorphic disorder, with difficult early diagnosis, and in late stages it determines serious complications, targeting obstetrical and vital prognosis of the patient. A precise and early diagnosis is supported on ultrasound and dosage of the b-hCG dynamics. The presence of b-hCG, the empty uterine cavity on ultrasound tests, the detection of a periuterine tumor mass leads to the diagnosis of ectopic pregnancy. The treatment of ectopic pregnancy is a medical and surgical one. The medical treatment is preferred by most clinicians when it is possible. Our study aims to diagnose and monitor the tubal ectopic pregnancy under methotrexate treatment through biochemical marker hormone b-hCG and progesterone dosing in dynamics. Success or failure rate of the conservatively treatment with methotrexate depends on the initial b-hCG value. The purpose to spare fertility of the young women who want to procreate has led us to avoid surgery and give more weight to curative therapeutic behavior.

scholarly journals Lithopedion Causing Intestinal Obstruction in a 71-Year-Old Woman: A Case Report

2019 ◽  
Vol 41 (02) ◽  
pp. 129-132
Author(s):  
Francisco de Oliveira ◽  
Sandra Santos ◽  
Bruno Duarte ◽  
Alexandre Sisnando
Keyword(s):  
Intestinal Obstruction ◽  
Ectopic Pregnancy ◽  
Rare Event ◽  
Uterine Cavity ◽  
First Trimester ◽  
Abdominal Pregnancy ◽  
Fallopian Tubes ◽  
Rare Type ◽  
The World ◽  
Ectopic Pregnancies

AbstractEctopic pregnancy is the leading cause of pregnancy-related death during the first trimester, and it occurs in 1 to 2% of pregnancies. Over 90% of ectopic pregnancies are located in the fallopian tube. Abdominal pregnancy refers to an ectopic pregnancy that has implanted in the peritoneal cavity, external to the uterine cavity and fallopian tubes. The estimated incidence is 1 per 10,000 births and 1.4% of ectopic pregnancies. Lithopedion is a rare type of ectopic pregnancy, and it occurs when the fetus from an unrecognized abdominal pregnancy may die and calcify. The resulting “stone baby” may not be detected for decades and may cause a variety of complications. Lithopedion is a very rare event that occurs in 0.0054% of all gestations. About 1.5 to 1.8% of the abdominal babies develop into lithopedion. There are only ∼ 330 known cases of lithopedion in the world. We describe a lithopedion that complicated as intestinal obstruction in a 71-year-old woman.

scholarly journals Hysterosalpingographic Evaluation of Uterus and Fallopian Tubes of Infertile Women

2017 ◽  
Vol 6 (1) ◽  
pp. 63-71 ◽  
Author(s):  
Manoj Bhattarai ◽  
Sita Pokhrel Ghimire
Keyword(s):  
Fallopian Tube ◽  
Uterine Cavity ◽  
Categorical Variables ◽  
P Value ◽  
Fallopian Tubes ◽  
Secondary Infertility ◽  
Radiological Investigation ◽  
Infertile Women ◽  
Primary Infertility ◽  
Significant Difference

Background: Hysterosalpingography (HSG) is a routinely performed radiological investigation for evaluation of uterine cavity morphology and fallopian tube patency in infertile women. This study was undertaken to describe patterns of HSG findings and to assess any significant difference in uterine and fallopian tube findings in women with primary and secondary infertility in eastern part of Nepal.Material and Methods: Hospital based cross sectional descriptive study was conducted by retrospectively analyzing HSG records of 216 infertile women (both primary and secondary infertility) done from April 2014 to August 2016. Radiological findings in uterus and fallopian tubes were recorded and analyzed. Association between two categorical variables was examined by Chi-square test.Results: Majority of infertile women (53.2%) had primary infertility. Abnormal HSG was seen in 44.9% infertile women and higher in secondary infertility (57.4%) than with primary infertility (33.9%) (OR = 2.63, 95% CI = 1.51 – 4.57, P value = 0.001). Tubal abnormality was common than uterine abnormality (36.1% versus 8.8%, P value= 0.001). Tubal abnormalities were higher in women with secondary infertility than with primary infertility (52.5% versus 21.7%), whereas uterine abnormalities were common with primary infertility compared to secondary infertility (12.2% versus 5.0%) (P value= 0.001).Conclusion: Abnormal HSG was more associated with secondary infertility. Infertility was significantly associated with tubal abnormality than with uterine abnormality. Tubal abnormalities are common in women with secondary infertility whereas uterine abnormalities are common in women with primary infertility and are statistically significant.Journal of Nobel Medical CollegeVolume 6, Number 1, Issue 10 (January-June, 2017), Page: 63-71

A ruptured seventeen weeks’ ectopic pregnancy: a case report

2020 ◽  
pp. 1-8
Author(s):  
Usama Shabbir ◽  
Jamal Anwar ◽  
Mohammad Sohail Asghar ◽  
Balakh Sher Zaman ◽  
Ameer Afzal ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Cavity ◽  
Fallopian Tubes ◽  
Common Condition ◽  
Crown Rump Length ◽  
Proper Management ◽  
Timely Diagnosis ◽  
Ectopic Pregnancies

Abstract Ectopic pregnancy is a common condition with a prevalence of 2% in all pregnancies. Implantation of the developing blastocyst outside the uterine cavity leads to ectopic pregnancy. About 95% of ectopic pregnancies occur in the different segments of the fallopian tubes. Usually, an ectopic pregnancy grows up to 1.5–3.5 cm and any size greater than this leads to rupture. We present a case of ruptured ectopic pregnancy in which the foetus had a crown–rump length(CRL) of 12 cm was retrieved. To our knowledge, this is the largest foetus recovered from a ruptured ectopic pregnancy at the ampulla of fallopian tube reported in the literature. Timely diagnosis and proper management is the key to reduce morbidity associated with it. Keywords: Ectopic pregnancy Hemoperitoneum Implantation Continuous...

ECTOPIC PREGNANCY WITH ACCEPTOR IMPLANT

2019 ◽  
Vol 3 (1) ◽  
pp. 48-55
Author(s):  
Putri Zelfitri Zen ◽  
Yusrawati Yusrawati
Keyword(s):  
Ectopic Pregnancy ◽  
Contraceptive Use ◽  
Abdominal Cavity ◽  
Uterine Cavity ◽  
Hormonal Contraceptive ◽  
Obstetrics And Gynecology

Objective: To report a case of Ectopic pregnancy with implant receptorsMaterials and Methods: This article describes the case of a 41-year-old woman, diagnosed with an Ectopic Pregnancy on the gravid G5P4A0H4 11-12 weeks. Patients are using implant contraception, which has been used since 2009-2018 (3 installations). The patient came to the obstetrics and gynecology clinic Dr. M. Djamil Padang. The ultrasound gives the impression of Ectopic pregnancy in the infindibule tube. Analysis Ectopic pregnancy can also occur due to the influence of hormonal contraceptive use (progesterone).Results: Patient gets intervention performed laparotomy After the peritoneum is opened it appears fresh red blood amounting to ± 500 cc filling the abdominal cavity. Blood evacuation and exploration are performed, it appears that the source of bleeding originates from the left tubal rupture (Infundibulum) Impression of the left tubal rupture (Infundibulum) ecectic ectopic pregnancy is impaired. Sinistal salpingectomy is performed.Conclusion: Ectopic pregnancy Ectopic pregnancy is all pregnancies where the ovum fertilized by spermatozoa implant and grows outside the uterine cavity endometrial.

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