Clinical evaluation of ultrasound markers of extratubal forms of ectopic pregnancy: choice of surgical method and principles of rehabilitation treatment

2020 ◽  
Vol 19 (4) ◽  
pp. 178-183
Author(s):  
A.I. Davydov ◽  
◽  
I.I. Sokolenova ◽  
M.N. Shakhlamova ◽  
◽  
...  

Aspects of ultrasound diagnostics of extratubal forms of ectopic pregnancy are presented from the standpoint of choosing the optimal treatment tactics for patients, aimed primarily at minimiz-ing surgical procedures. The issues of diagnostics of cervical pregnancy, caesarean scar preg-nancy, ovarian pregnancy, as well as a rare indication of tubal pregnancy – interstitial pregnancy are detailed. In most cases, echography is not only decisive, but, in fact, the only method of pre-operative diagnosis. In this case, color Doppler mapping of blood flow in the vessels of the ec-topic trophoblast is of great importance, which makes it possible to assess the degree of its inva-sion and, thereby, to make adjustments to the surgical tactics. The emphasis is made on the role of rehabilitation treatment. Key words: ectopic pregnancy, extratubar forms, ultrasound diagnostics, treatment tactics, re-habilitation therapy

2020 ◽  
Vol 69 (5) ◽  
pp. 77-86
Author(s):  
Armine R. Khachaturyan ◽  
Maria I. Yarmolinskaya ◽  
Anna A. Tsypurdeyeva ◽  
Eduard N. Popov ◽  
Alexandra I. Rudikova

This article summarizes data on the prevalence, risk factors and the role of external genital endometriosis in the development of ectopic pregnancy. The existing algorithms for the use of conservative therapy of ectopic pregnancy of rare localizations are discussed. The authors presented a clinical case of using methotrexate in the treatment of a patient with infiltrative endometriosis and trophoblast persistence after laparoscopic removal of interstitial tubal pregnancy.


2018 ◽  
Vol 5 (2) ◽  
pp. 15-17
Author(s):  
Bharath Reddy G ◽  
◽  
Venkatram Reddy K ◽  
Rama Krishna Reddy G ◽  
R S Moorthy ◽  
...  

2020 ◽  
Vol 16 ◽  
Author(s):  
Divya Mirji ◽  
Shubha Rao ◽  
Akhila Vasudeva ◽  
Roopa P.S

Background: Pregnancy of unknown location (PUL) is defined as the absence of intrauterine or extrauterine sac and Beta Human Chorionic Gonadotropin levels (β-HCG) above the discriminatory zone of 1500 mIU/ml. It should be noted that PUL is not always an ectopic; however, by measuring the trends of serum β-HCG, we can determine the outcome of a PUL. Objective: This study aims to identify the various trends β-HCG levels in early pregnancy and evaluate the role of β-HCG in the management strategy. Methods: We conducted a prospective observational study of pregnant women suspected with early pregnancy. Cases were classified as having a pregnancy of unknown location (PUL) by transvaginal ultrasound and ß-HCG greater than 1000 mIU/ml. Expectant management was done until there was a definite outcome. All the collected data were analyzed by employing the chi-square test using SPSS version 20. Results: Among 1200 women who had early first trimester scans, 70 women who fulfilled our criteria of PUL and ß-HCG > 1000 mIU/ml were recruited in this study. In our study, the mean age of the participants was 30±5.6yrs, and the overall mean serum ß-HCG was 3030±522 mIU/ml. The most common outcome observed was an ectopic pregnancy, 47% in our study. We also found the rate of failing pregnancy was 27%, and that of intrauterine pregnancy (IUP) was 25%. Overall, in PUL patients diagnosed with ectopic pregnancy, 9% behaved like IUP, and 4% had an atypical trend in their ß-HCG. Those who had an IUP, 11% had a suboptimal increase in ß-HCG. Conclusion: PUL rate in our unit was 6%. Majority of the outcome of PUL was ectopic in our study. Every case of PUL should be managed based on the initial ß-HCG values, clinical assessments and upon the consent of the patient.


2000 ◽  
Vol 74 (6) ◽  
pp. 1259-1260 ◽  
Author(s):  
Joël Coste ◽  
Hervé Fernandez ◽  
Nicole Joyé ◽  
Jean-Louis Benifla ◽  
Sylvie Girard ◽  
...  

2010 ◽  
Vol 1 (1) ◽  
pp. 23 ◽  
Author(s):  
Dhwani Desai ◽  
VA Desai ◽  
RN Verma ◽  
A Shrivastava

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Shingo Io ◽  
Masaaki Hasegawa ◽  
Takashi Koyama

Ovarian pregnancy is a rare form of ectopic pregnancy, causing a great diagnostic challenge. We report a case of ovarian pregnancy in a 42-year-old woman, in whom MRI successfully demonstrated the implantation in the ovary. Transvaginal ultrasonography showed an echogenic mass in the right ovary but failed to demonstrate tubal pregnancy. T2-weighted MR images disclosed a gestational sac structure in the right ovary, which exhibited heterogeneous high intensity intermingled with punctate foci of distinct low intensity. MRI may be a useful tool for diagnosing ovarian pregnancy, by demonstrating a gestational sac in the ovary.


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