scholarly journals HISTOPATHIC RUPTURE OF THE UTERUS DURING PREGNANCY

2020 ◽  
Vol 24 (2) ◽  
pp. 32-37
Author(s):  
Munira Zainidinovna Rakhatkulova ◽  
◽  
Daria Yurievna Jhurova ◽  
Victoria Dmitrievna Frosina ◽  
Zhanna Nikolaevna Telenkova ◽  
...  
Keyword(s):  
High Risk ◽  
Infant Mortality ◽  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Clinical Case ◽  
Obstetric Injury ◽  
Severe Manifestation

Rupture of the uterus, or a violation of the integrity of its walls, is a severe manifestation of obstetric injury. The decrease in the frequency of uterine ruptures due to mechanical causes, careless obstetric interventions gave way to histopathic organ ruptures due to cesarean section surgery, conservative myomectomy, tubectomy. This publication presents a clinical case of the onset of rupture due to the failure of the suture on the uterus after an ectopic pregnancy in the interstitial section of the fallopian tube, diagnosed at 33 weeks of gestation and culminating in a newborn weighing 2 176 grams, 46 cm long in severe asphyxiation. The case presented is a rare severe obstetric pathology with a high risk of maternal and infant mortality.

scholarly journals Cesarean section scar ectopic pregnancy: a clinical case series

2015 ◽  
Vol 18 (2) ◽  
pp. 191-195 ◽  
Author(s):  
Matthew Rheinboldt ◽  
Dan Osborn ◽  
Zach Delproposto
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Clinical Case ◽  
Case Series

Successful prevention of preeclampsia in a high-risk pregnancy using progestogen dydrogesterone: a clinical case

2016 ◽  
Vol 27 (3) ◽  
Author(s):  
Vitaly B. Tskhay ◽  
Natalya M. Kovtun ◽  
Adolf E. Schindler
Keyword(s):  
High Risk ◽  
Cesarean Section ◽  
Arterial Hypertension ◽  
Early Development ◽  
Clinical Case ◽  
Randomized Study ◽  
High Risk Patient ◽  
Risk Patient ◽  
Risk Pregnancy ◽  
Successful Prevention

AbstractThe presented clinical example convincingly demonstrates the efficacy of dydrogesterone (30 mg) in the prevention of severe preeclampsia in a high-risk patient (early development of preeclampsia and preterm Cesarean section in her first pregnancy, arterial hypertension). This case suggests using dydrogesterone as an option to prevent preeclampsia, as previously shown in a prospective randomized study.

scholarly journals Case Report of an Undisturbed Ectopic Pregnancy with Very High Human Chorionic Gonadotrophin (β-hCG)

2021 ◽  
Vol 33 (3) ◽  
pp. 41-45
Author(s):  
Gulmeen Raza ◽  
Maha Abdelwahab Ghorabah
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Chorionic Gonadotrophin ◽  
Human Chorionic Gonadotrophin ◽  
Tubal Ectopic Pregnancy ◽  
Β Hcg ◽  
Very High

This is a case report of a patient with an undisturbed ectopic pregnancy and very high levels of human chorionic gonadotrophin (β-HCG). The patient presented to the emergency room at 9+1 weeks of gestation with mild abdominal pain and vaginal bleeding. She had an obstetric history of two previous cesarean section deliveries. On presentation, her human chorionic gonadotropin (β-HCG) was measured to be 26,530 mIU/ml, and after 18 hours, the β-HCG level was 25,660 mIU/ml. An ultrasound scan revealed no evidence of intrauterine pregnancy, a left ovarian cyst measuring 2.86 cm x 2.17 cm, and the presence of a mixed mass near the ovary measuring 3.92 cm x3.62 cm. The patient was diagnosed with a left tubal ectopic pregnancy and was taken for an immediate laparoscopy. Intraoperatively, the left tubal ectopic pregnancy was undisturbed and measured about 4-5 cm involving more than half of the fallopian tube. The mixed mass, along with the left fallopian tube, was removed as a whole. Keywords: Abdominal pain, Cesarean Section, Ectopic-pregnancy, Laparoscopy, Tubal pregnancy, Ultrasonography

scholarly journals A Ruptured Spontaneous Heterotopic Tubal Pregnancy With a Viable Intrauterine Pregnancy

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
United States ◽  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Peritoneal Cavity ◽  
First Trimester ◽  
The United States ◽  
Tubal Pregnancy ◽  
Intrauterine Pregnancy ◽  
Ectopic Pregnancies

An ectopic pregnancy is a pregnancy located outside of the intrauterine cavity.They comprise 1-2% of all first trimester pregnancies and 6% of pregnancy related deaths in the United States [1]. Ectopic pregnancies most commonly occur in the fallopian tube but can also implant in other locations, including the ovaries, peritoneal cavity, cesarean section scars and the cervix [2].

scholarly journals Ectopic pregnancy in the uterus scar left after cesarean section: a clinical case

2018 ◽  
Vol 12 (2) ◽  
pp. 69-75
Author(s):  
A. N. Rybalka ◽  
A. N. Sulima ◽  
D. А. Beglitse ◽  
O. A. Mitrofanova ◽  
O. S. Latyshev ◽  
...  
Keyword(s):  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Clinical Case ◽  
Reproductive Organ ◽  
Uterine Scar

The article describes a rare clinical case of ectopic pregnancy in the uterine scar left after a cesarean section. The case demonstrates the complexity of diagnosing this abnormality and managing such patients. The proposed approach allowed us to diagnose pregnancy in the uterus scar in due time, avoid hysterectomy, and preserve the reproductive organ.

scholarly journals A Ruptured Spontaneous Heterotopic Tubal Pregnancy With a Viable Intrauterine Pregnancy

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
United States ◽  
Cesarean Section ◽  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Peritoneal Cavity ◽  
First Trimester ◽  
The United States ◽  
Tubal Pregnancy ◽  
Intrauterine Pregnancy ◽  
Ectopic Pregnancies

An ectopic pregnancy is a pregnancy located outside of the intrauterine cavity.They comprise 1-2% of all first trimester pregnancies and 6% of pregnancy related deaths in the United States [1]. Ectopic pregnancies most commonly occur in the fallopian tube but can also implant in other locations, including the ovaries, peritoneal cavity, cesarean section scars and the cervix [2].

scholarly journals Clinical case of ectopic pregnancy in the fallopian tube stump

2020 ◽  
Vol 14 (2) ◽  
pp. 239-244
Author(s):  
A. N. Sulima ◽  
D. A. Beglitse ◽  
A. N. Rybalka ◽  
P. N. Baskakov ◽  
I. O. Kolesnikova
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Clinical Case ◽  
Therapeutic Interventions ◽  
Differential Diagnostics ◽  
Surgical Sterilization ◽  
History Of ◽  
Ectopic Pregnancies ◽  
Left Fallopian Tube ◽  
Abdominal Quadrant

Here we describe a rare clinical case of female with a history of surgical sterilization coupled to ectopic pregnancy in the fallopian tube stump, comprising on average 1.19 % of total ectopic pregnancies. The patient E. was admitted to the gynecological department complaining of aching pain in the lower left abdominal quadrant, blood discharge from the genital tract, and delayed menstruation. Due to a previous operation for sterilization, no onset of pregnancy was expected. A positive urinary test for human chorionic gonadotropin was obtained, whereas ultrasound examination did not reliably confirm the onset of pregnancy. However, taking into account the ultrasound signs of the hematoperitoneum, a culdocentesis was performed that revealed dark liquid non-clotting blood. Laparoscopic surgery was performed on emergency indications. Intraoperatively: the stump of the left fallopian tube was dilated, cyanotic, and blood was leaking from the fimbria lend. Bilateral excision of fallopian tube stumps was performed. The primary clinical diagnosis was interrupted left-sided tubal pregnancy (in the fallopian tube stump) that was confirmed by pathomorphological examination. Thus, the clinical case described by us demonstrates properly conducted differential diagnostics as well as timely management and therapeutic interventions. Hence, previous surgical sterilization recorded in patient history should not rule out a diagnosis of ectopic pregnancy.

The application of ultrasound for the diagnosis of isthmic ectopic pregnancy

2019 ◽  
Author(s):  
V.N. Demidov, N.V. Mashinets
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube

Two rare observations of disturbed ectopic pregnancy in isthmic part of the fallopian tube for a 5 weeks of gestation are presented. Clinical and echographic signs of this pathology are considered.

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

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