scholarly journals Interstitial Pregnancy a Rare form of Ectopic Pregnancy: Case Report

2018 ◽  
Vol 24 (3) ◽  
pp. 167 ◽  
Author(s):  
Mohannad AbuFaza ◽  
Ibrahim A. Abdelazim
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Cavity ◽  
Rare Form ◽  
Interstitial Pregnancy ◽  
Good General Condition ◽  
Ectopic Pregnancies ◽  
The Right ◽  
Cervical Motion

<p>Interstitial pregnancy is a rare variety of ectopic pregnancy, it can have disturbed 8-16 weeks of amenorrhea (later than the distal tubal ectopic pregnancy), due to the dispensability of the myometrium covering the interstitial segment of the fallopian tube, with subsequent massive internal hemorrhage.<br />A 29-years-old female, Gravida 3, Para 2, presented with severe abdominal pain, vomiting, and syncope 3 days after her missing period, and positive pregnancy test. Trans-vaginal ultrasound showed empty uterine cavity, free pelvic fluid with severe cervical motion tenderness. She was diagnosed with ruptured ectopic pregnancy. Ruptured ectopic pregnancy in the proximal segment of right fallopian tube was confirmed with laparotomy.<br />The ruptured pregnancy was managed by right salpingectomy, and hemostatic stitches at the right uterine corn. Her hemoglobin was 8 gr on admission, and she received 3 units of packed RBCs (one intra-operative, and two post-operative). Her post-operative hemoglobin was 10.5 gr, and she was discharged from the hospital on the 3rd post-operative day in good general condition for follow up in the outpatients` department. <br />This case report represents a rare variety of ectopic pregnancy, which is the interstitial pregnancy, because it can rupture few days or weeks after the missed period with subsequent massive internal hemorrhage. <br />Interstitial pregnancy is a rare form of ectopic pregnancy, the obstetricians should be aware of rare forms of ectopic pregnancies, it can have disturbed few days or weeks after the missed period leading to subsequent significant morbidity.</p>

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...

Sonographic Diagnosis of Bilateral Tubal Pregnancies

2021 ◽  
pp. 875647932199235
Author(s):  
Amber R. Matuzak
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Tubal Ligation ◽  
Tubal Pregnancy ◽  
Rare Form ◽  
Sonographic Diagnosis ◽  
Ectopic Pregnancies ◽  
The Right ◽  
Preoperative Sonography ◽  
Bilateral Tubal Pregnancy

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.

scholarly journals Secondary abdominal appendicular pregnancy: Case report

2014 ◽  
Vol 142 (7-8) ◽  
pp. 484-487
Author(s):  
Mico Rosso ◽  
Sinisa Sijanovic ◽  
Zlatko Topolovec ◽  
Domagoj Vidosavljevic ◽  
Robert Selthofer ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Point Of View ◽  
Reproductive Age ◽  
Gynecology And Obstetrics ◽  
Secondary Implantation ◽  
Pouch Of Douglas ◽  
Histopathologic Analysis ◽  
Ectopic Pregnancies ◽  
The Right

Introduction. The case report describes a 29-year-old nulliparous woman that was admitted at the Department of Gynecology and Obstetrics of the Clinical Hospital Osijek complaining of mild abdominal pain without vaginal discharge. Case Outline. The patient?s menstrual cycle was irregular, from 30-45 days. An ultrasound examination showed suspicion of an ectopic pregnancy with a ?HCG level of 1358 IU/L. Due to the presence of liquid in the pouch of Douglas the patient underwent emergency laparoscopy, which showed the presence of tumor mass between the right Fallopian tube and the appendix. These two structures associated with adhesions corresponded to secondary implantation after spontaneous tubal abortion which was confirmed by histopathologic analysis. Conclusion. Laparoscopy has emerged as the ?gold standard? in the diagnosis and treatment of ectopic pregnancy, in this case the secondary abdominal pregnancy. From the diagnostic point of view, all women of reproductive age should be considered pregnant until proven otherwise, also keeping in mind that ectopic pregnancies can have different locations and many clinical features.

scholarly journals Cornual Pregnancy: A Case Report

2014 ◽  
Vol 8 (2) ◽  
pp. 102-104 ◽  
Author(s):  
Irin Parveen Alam
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Uterine Cavity ◽  
Final Diagnosis ◽  
Uterine Wall ◽  
Cornual Pregnancy ◽  
College Hospital ◽  
Major Life ◽  
Threatening Situation

Ectopic pregnancy is a condition where gestation sac is located outside the uterine cavity; it is a major life threatening situation in early pregnancy. A cornual pregnancy is an ectopic pregnancy that develops in the interstitial portion of the fallopian tube invading through the uterine wall. As myometrium is more distensible fallopian tube cornual pregnancies often rupture later than other tubal pregnancies. Cornual pregnancy is rare and carries grave consequences to both mother and fetus. Here a case report has been presented where the patient was admitted in Faridpur Medical College Hospital. The case was presented with intra-abdominal haemorrhage at second trimester. In this cases investigation missed the diagnosis, final diagnosis was only made after laparotomy. The need for clinical suspicion and role of ultrasonography, resuscitation and laparotomy is necessary to prevent catastrophe. DOI: http://dx.doi.org/10.3329/fmcj.v8i2.20397 Faridpur Med. Coll. J. 2013;8(2): 102-104

scholarly journals A rare case report of cornual pregnancy

2021 ◽  
Vol 10 (10) ◽  
pp. 3986
Author(s):  
Priyanka Bansal ◽  
Gargi Aggarwal ◽  
Isha Bansal
Keyword(s):  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Healthy Woman ◽  
Cornual Pregnancy ◽  
Rare Type ◽  
Interstitial Pregnancy ◽  
Ultrasound Findings ◽  
Rare Case Report ◽  
Ectopic Pregnancies

Cornual pregnancy is a rare type of ectopic pregnancy in which embryo implants in the junction between the fallopian tube and uterus. Ectopic pregnancy is more common in the ampullary region of the fallopian tube. However, cornual (interstitial) pregnancy is seen in 2-4% of ectopic pregnancies. It is more dangerous than other ectopic as it may lead to catastrophic hemorrhage, shock with mortality rate of 2-2.5%. A cornual pregnancy is diagnosed at 7+3 week of amenorrhea in 27-year-old healthy woman. Ultrasound examination showed a right live cornual pregnancy with CRL corresponding to 6+4week of gestation with fetal heart pulsation. We performed right cornuostomy by laparotomy without any immediate or delayed postoperative complications. Cornual pregnancy poses significant diagnostic and therapeutic challenge; early diagnosis may help to select the proper management and treatment according to the clinical presentation, hemodynamic stability, serum b-hCG level and ultrasound findings. Early diagnosis and management remain the mainstay for tackling maternal mortality due to cornual pregnancy.

scholarly journals A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Naoyuki Iwahashi ◽  
Yoko Deguchi ◽  
Yuko Horiuchi ◽  
Kazuhiko Ino ◽  
Kenichi Furukawa
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Rare Case ◽  
Surgical Intervention ◽  
Indigo Carmine ◽  
Natural Conception ◽  
Ectopic Pregnancies ◽  
The Right

Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine. The most appropriate surgical intervention should be discussed when managing recurrent ectopic pregnancies. It might be necessary to perform total salpingectomy to reduce the risk of future recurrence on the remaining tube.

scholarly journals Laparoscopic Excision of Coexisting Left Tubal and Right Pseudotubal Pregnancy after Conservative Management of Previous Ectopic Pregnancy with Methotrexate: An Unusual Clinical Entity

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Panayotis Xiromeritis ◽  
Chrysoula Margioula-Siarkou ◽  
Dimosthenis Miliaras ◽  
Ioannis Kalogiannidis
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Tubal Pregnancy ◽  
Chorionic Villi ◽  
Tubal Patency ◽  
Laparoscopic Excision ◽  
Future Pregnancy ◽  
Ectopic Pregnancies ◽  
Left Fallopian Tube ◽  
The Right

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.

Ruptured salpingitis isthmica nodosa: a rare cause for spontaneous haemoperitoneum

2021 ◽  
Vol 14 (1) ◽  
pp. e237860
Author(s):  
Dora Huang ◽  
Sandon Lowe ◽  
Pravena Kumaran ◽  
Kay Tai Choy
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Diagnostic Laparoscopy ◽  
Lower Abdominal Pain ◽  
Atypical Presentation ◽  
Pelvic Ultrasound ◽  
Beta Human Chorionic Gonadotropin ◽  
History Of ◽  
Ectopic Pregnancies ◽  
The Right

Salpingitis isthmica nodosa (SIN) is the nodular swelling or diverticulum of the isthmus of the fallopian tube. It is most commonly identified when investigating female infertility or in association with ruptured ectopic pregnancies. We experienced a rare and atypical presentation of SIN. A 33-year-old woman presented with a 1-hour history of acute lower abdominal pain associated with nausea and vomiting. CT and pelvic ultrasound revealed haemoperitoneum with no radiological evidence for its aetiology. Initial beta-human chorionic gonadotropin excluded ectopic pregnancy. A diagnostic laparoscopy was performed following clinical deterioration of the patient. Active bleeding of the right fallopian tube was identified and managed with a right partial salpingectomy, with subsequent histopathology revealing ruptured SIN. There have been no reported cases of SIN being a primary cause for an acute abdomen or haemoperitoneum in the absence of an ectopic pregnancy, making this case a surgical novelty.

scholarly journals Misdiagnosis of interstitial pregnancy followed by circlage operation and failed induced midtrimester abortion: a case report

2019 ◽  
Vol 8 (12) ◽  
pp. 5054
Author(s):  
Nalini Sharma ◽  
Anusmita Saha
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Ectopic Pregnancy ◽  
Medical Abortion ◽  
Normal Response ◽  
Rare Form ◽  
Interstitial Pregnancy ◽  
Mortality And Morbidity ◽  
Expert Radiologist

Interstitial pregnancy is rare form of ectopic pregnancy that can expand up to 18 weeks leads to massive haemoperitoneum hence early diagnosis is imperative to decrease mortality and morbidity. Present case diagnosed as interstitial pregnancy at laparotomy when she had taken for hysterotomy after two failed courses of medical abortion. Clinicians should bear in mind the limitations of various investigations and should have a higher degree of suspicion for interstitial pregnancy Any deviation from normal response to administration of medical abortificient, such as failure to abort, should instigate the diagnosis of ectopic (interstitial) pregnancy by expert radiologist.

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