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Obeidat B - - 2010
To evaluate and compare the current approach to the management of ectopic pregnancy between the main two civil hospitals in the north of Jordan. A retrospective study. A retrospective review was made of the records of all patients with confirmed ectopic pregnancy admitted to Princess Badea Teaching Hospital (PBTH), and ...
Walid M Sami - - 2010
Cornual (interstitial) ectopic pregnancy is an uncommon variant of ectopic pregnancy which often poses a diagnostic and therapeutic challenge with a significant risk of rupturing and bleeding. We present a ruptured right cornual pregnancy and explain how to deal with such a case laparoscopically.
Günel Tuba T Istanbul University, Faculty of Science, Department of Molecular Biology and Genetics, Istanbul, - - 2010
Hemolytic disease of the newborn (HDN) is a clinic phenomenon which occurs during pregnancy due to the Rhesus (Rh) D alloimmunization between a Rh (-) pregnant woman, who has become sensitive to RhD antigens, and her Rh (+) fetus. As a result of the attack of maternal RhD antibodies on ...
Shin Byung Seok - - 2010
Ectopic pregnancy is a potentially life-threatening condition. Detection of ectopic pregnancy on CT images is rare. In this case, we describe the CT findings of interstitial pregnancy both before and after rupture. If CT images demonstrate the presence of a strong enhancing ring-like mass in the pelvis, ectopic pregnancy should ...
Elito Julio J - - 2010
PROBLEM: In ectopic pregnancy, increased levels of vascular endothelial growth factor are present. The aims of this study were to determine the association between -634C/G, -460T/C, and +936C/T vascular endothelial growth factor (VEGF) polymorphisms and ectopic pregnancy, and to determine whether serum levels of VEGF were affected by genetic factors. ...
Wedderburn C J CJ Centre for Reproductive Biology, The University of Edinburgh, Edinburgh EH16 4TJ, - - 2010
The diagnosis of ectopic pregnancy in women presenting in early pregnancy is often protracted, relying on costly investigations that are psychologically burdensome to the patient. The aim of this study was to evaluate the financial costs to the health services in Scotland of the current methods used to diagnose and ...
Halil Sait - - 2010
OBJECTIVE: Our objective was to report transpositioning an ectopic ovary, successfully using the assisted reproduction technique (ART), with the outcome of retrieving an oocyte from the transpositioned ovary during ART. CASE REPORT: The couple, presenting with a history of 2 years of secondary infertility, was admitted to our hospital. Two ...
Martinez Jorge - - 2009
Spontaneous bilateral ectopic pregnancy is the rarest form of ectopic pregnancy. A 31-year-old patient with spontaneous bilateral tubal pregnancy was admitted after light vaginal bleeding, 42 days after her last menstruation. Ultrasonography showed a bilateral tubal ectopic pregnancy. A bilateral laparoscopic salpingectomy was performed without complication and the pathology report ...
Tunde-Byass Modupe - - 2009
OBJECTIVE: To determine the value of North York Hospital's Early Pregnancy Assessment Clinic (EPAC) in the management of early pregnancy complications and its effect on the number of emergency room (ER) visits. METHODS: The EPAC was opened in August 2005 at North York General Hospital. The number of patients being ...
Ehrenberg-Buchner Stacey - - 2009
Ectopic pregnancy is a common condition with the immediate risk of life-threatening hemorrhage and subsequent risks of infertility and recurrence. Despite remarkable advances in diagnosis and treatment, ectopic pregnancies account for 9% of all maternal deaths. Early diagnosis has led to the development of innovative surgical and nonsurgical options. The ...
Condous George - - 2009
Ectopic pregnancy is still the number one cause of maternal deaths in early pregnancy. The diagnostic capabilities of transvaginal ultrasound to confirm an EP are well founded. In fact, ultrasound technology, particularly the introduction of high-resolution transvaginal probes, has been the driving force behind the revolutionary change towards conservative management ...
Savaris Ricardo Francalacci - - 2009
OBJECTIVE: To report the use of laparoendoscopic single-site surgery for the management of ectopic pregnancy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 25-year-old woman with a 7-week ectopic pregnancy and pelvic inflammatory disease. INTERVENTION(S): Laparoendoscopic single-site surgery and broad-spectrum antibiotics. MAIN OUTCOME MEASURE(S): Complete resolution of the ectopic pregnancy ...
McRae Andrew - - 2009
Emergency department targeted ultrasonography (EDTU) offers the possibility of rapid exclusion of ectopic pregnancy in patients with first-trimester pelvic pain or bleeding. We sought to systematically review the evidence describing the diagnostic accuracy and clinical utility of EDTU in the first trimester of pregnancy, and to generate a pooled estimate ...
Tinelli Andrea - - 2009
OBJECTIVE: To describe a rare case of a singleton 9-week cervical-isthmic pregnancy (CIP), treated by laparoscopic removal of the ectopic pregnancy and suturing of the uterine site of the ectopic pregnancy with single stitches. DESIGN: Case report. SETTING: Main general hospital. PATIENT(S): A 37-year-old woman was admitted for suspected singleton ...
Northrup Benjamin E - - 2009
The chorionic bump, an irregular, convex bulge of the choriodecidual surface into the gestational sac (GS), is a recently described, uncommon abnormality of the 1st-trimester GS and is associated with a guarded prognosis for early pregnancy. The case of this 42-year-old female demonstrates a previously unreported relationship: a transvaginal sonographic ...
Bignardi T - - 2009
OBJECTIVE: Hemoperitoneum is accepted as an indication for surgery in women with tubal ectopic pregnancy. The aim of this pilot study was to evaluate the feasibility of managing such women non-surgically. METHODS: This was a prospective observational study. Women with tubal ectopic pregnancy and hemoperitoneum detected on transvaginal sonography (TVS) ...
Deutchman Mark - - 2009
Vaginal bleeding in the first trimester occurs in about one fourth of pregnancies. About one half of those who bleed will miscarry. Guarded reassurance and watchful waiting are appropriate if fetal heart sounds are detected, if the patient is medically stable, and if there is no adnexal mass or clinical ...
Atabeko─člu Cem Somer - - 2009
We report a case of a twin ectopic pregnancy (EP) after in vitro fertilization and embryo transfer (IVF-ET). A 24-year-old nulligravida presented with lower abdominal pain and vaginal bleeding 4 weeks after embryo transfer. Serum beta-HCG levels were 40 IU/mL, 90 IU/mL, and 1970 IU/mL on ET days 12, 14, ...
Al-Azemi Majedah - - 2010
OBJECTIVE: To investigate the production of inducible nitric oxide synthase (iNOS) in the fallopian tube (FT) during the menstrual cycle and whether epithelia from FTs bearing an ectopic pregnancy differ from healthy tubes in iNOS expression. DESIGN: Prospective study. SETTING: Academic unit of reproductive and developmental medicine. PATIENT(S): Fallopian tubes ...
Kraemer Bernhard - - 2009
OBJECTIVE: To present a case of a vital ectopic pregnancy after 8 weeks that was located in the right ovary. DESIGN: Case study and literature review. SETTING: Hospital outpatient clinic. PATIENT(S): A 29-year-old primigravida presented with lower abdominal pain and mild vaginal bleeding at 8 weeks after her last menstrual ...
Seol Hyun-Joo - - 2010
Omental pregnancy is an extremely rare type of ectopic pregnancy. We present a case in which a 26-year-old woman was admitted to the emergency room with abdominal pain. She was diagnosed with a ruptured ectopic pregnancy after a positive urinary pregnancy test and transvaginal ultrasound. Laparoscopic surgery showed intact pelvic ...
Odejinmi F - - 2009
We sought to determine the outcome of the laparoscopic management of ovarian ectopic pregnancy (OEP) in a United Kingdom district general hospital and reviewed the literature. We conducted a 5-year prospective cohort study of the management of OEP cases between January 2003 and January 2008. Twelve patients had OEP confirmed ...
Fylstra Donald L - - 2010
OBJECTIVE: To review all reported cases of ectopic pregnancy after hysterectomy. DESIGN: Medline literature search 1966 to Jan 2009. Search terms included "ectopic pregnancy," "post hysterectomy ectopic pregnancy," "pregnancy after hysterectomy." The bibliography of all retrieved articles was searched for additional sources of data. SETTING: Academic medical center. PATIENT(S): Women ...
Kirk Emma - - 2009
Transvaginal sonography (TVS) is now the imaging modality of choice for the diagnosis of ectopic pregnancy with overall reported sensitivities of>90%. Specific sonographic criteria exist for the diagnosis of tubal and non-tubal pregnancies including cervical and caesarean section scar pregnancies. Diagnosis is based on the visualization of an ectopic mass ...
Sturlese Emanuele - - 2009
PURPOSE: We present a case of ectopic pregnancy occurring in the stump of a remnant fallopian tube following ipsilateral adnexectomy for a mature cystic teratoma. METHODS: She had a laparoscopic salpingectomy. RESULTS: We hypothesize the intrauterine transmigration of the fecundated ovum. CONCLUSIONS: The authors emphasize the rarity of the observed ...
Cartwright Joanna - - 2009
Ectopic pregnancy remains a considerable cause of maternal morbidity and mortality worldwide. Currently, it is diagnosed using a combination of transvaginal ultrasound and serial serum beta-human chorionic gonadotrophin levels. Diagnosis is often delayed and these tests are time-consuming and costly, both psychologically to the patient and financially to health services. ...
Mathew Mariam - - 2009
Malignant melanoma is one of the most rapidly increasing cancers and, when it occurs during pregnancy, it can frequently metastasise to the placenta and the foetus. Earlier reports suggested a rapid progress of the disease during pregnancy with a poor prognosis; however, recent controlled studies found that stage for stage, ...
Horne A W - - 2009
Ectopic pregnancy (EP) remains a considerable cause of morbidity and occasional mortality. Currently, there is no reliable test to differentiate ectopic from intrauterine gestation. We have previously used array technology to demonstrate that differences in gene expression in decidualized endometrium from women with ectopic and intrauterine gestations could be used ...
Kaur Pandher D - - 2009
Cervical pregnancy is a rare variety of ectopic gestation. The etiology is obscure. Diagnosis may be difficult unless the clinician/the radiologist are conscious of the entity.
Taheripanah, Robabeh
Background: Ectopic pregnancy is one of the pathologic entities that it destroys the fallopian tube and impairs the future pregnancy. There are different medical and surgical therapies in order the treatment and reserve of fertility. The aim of this report is discuss a case of successful intrauterine after management of ...
Grynberg Michael - - 2009
BACKGROUND: Rupture of a fallopian tube caused by ectopic pregnancy may have serious consequences including hemorrhagic shock. The diagnosis of ectopic pregnancy is based on the demonstration of pregnancy using serum beta-hCG assays. Thus, a negative test usually allows the exclusion of the diagnosis of ectopic pregnancy. CASE: We present ...
Casanova Bruno C - - 2009
Symptoms of vaginal bleeding and abdominal pain are common in cases of ectopic pregnancy (EP), spontaneous abortions (SAB), and complications of an intrauterine pregnancy (IUP). It is important to determine if efforts should focus on differentiating EP from an IUP (IUP + SAB) or a viable IUP from a nonviable ...
Umranikar Sameer - - 2009
Spontaneous heterotopic pregnancy is a rare clinical condition in which intrauterine and extra uterine pregnancies occur at the same time. It can be a life threatening condition and can be easily missed with the diagnosis being overlooked. We present the case of a 40 year old patient who was treated ...
Tandon Rimpy - - 2009
Heterotopic pregnancy is diagnosed as the presence of two gestations simultaneously. This is a rare situation with a reported prevalence of 0.08% in normal conception. We report a case of a 24-year-old primigravida of Indian origin who was seen in the emergency department with a diagnosis of a ruptured ectopic ...
Varma Rajesh - - 2009
Approximately 1/100 pregnancies are ectopic, with the conceptus usually implanting in the fallopian tube. Some ectopic pregnancies resolve spontaneously, but others continue to grow and lead to rupture of the tube. Risks are higher in women with damage to the fallopian tubes due to pelvic infections, surgery, or previous ectopic ...
Sandhu Katherine Shaio - - 2009
Although gross hematuria is a relatively uncommon condition in general obstetrics and gynecology practice, microscopic hematuria is a common incidental finding during routine antepartum or gynecologic office visits. The proper evaluation and treatment options are understudied in females. In fact, work-up of females is controversial, and no consensus guidelines exist ...
Musa J - - 2009
BACKGROUND: Ectopic pregnancy remains a major gynaecological problem in contemporary gynaecological practice. Not only do women die from this disease, but also of greater clinical importance is the indirect morbidity of poor fertility prognosis and adverse outcome in subsequent pregnancies. We were interested in documenting the prevalence of ectopic pregnancy ...
Pennington R G C - - 2008
PURPOSE: To determine whether increasing age is associated with increased radiological features of osteoarthritis of the acromioclavicular joint (ACJ) in a general population, and whether clinical symptoms correlate with radiological features. METHODS: Anteroposterior and axillary shoulder radiographs of 240 patients aged 20 to 80 years were randomly selected. The presence ...
Farrell Scott A - - 2008
BACKGROUND: Prior to the availability of modern laparoscopic surgical techniques and equipment, ectopic pregnancy was managed predominately by laparotomy. An alternative surgical approach, by posterior colpotomy, was advocated as a diagnostic and a therapeutic approach that often avoided laparotomy. CASES: We report two recent cases in which ectopic pregnancies were ...
Barnhart Kurt T KT Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, and Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. - - 2008
To evaluate three strategies for diagnosis of women at risk for ectopic pregnancy based on information collected at initial presentation. Strength of association for risk factors, signs, and symptoms obtained at initial presentation of women with pain, bleeding, or both in a first-trimester pregnancy and a nondiagnostic ultrasound examination were ...
Weigert Monika - - 2009
To investigate the incidence of Tubal Ectopic Pregnancies (TEP) in IVF-ET patients with respect to the status of the fallopian tubes after a previous TEP. This retrospective study compares patients undergoing 481 IVF-ET cycles after conservatively or surgically treated TEP(s) with a Control Group (idiopathic or male factor for IVF-ET ...
Rhodes Jill A - - 2009
When in evolutionary history did long-range projectile weapons become an important component of hunting toolkits? The archeological evidence for the development of projectile weaponry is complex and generally indirect, and has led to different conclusions about the origin and spread of this technology. Lithic evidence from the Middle Stone Age ...
Chandrasekhar Chitra - - 2008
Ultrasound has remained the primary modality for investigating the pelvis of women in the reproductive age group, especially in an emergency setting. Recognition of different sonographic presentations, including typical and atypical findings of ectopic pregnancy, is important to determine surgical or nonsurgical management. This pictorial review article will exemplify different ...
Lin Edward P - - 2008
Ectopic pregnancy accounts for approximately 2% of all pregnancies and is the most common cause of pregnancy-related mortality in the first trimester. Initial evaluation consists of hormonal assays and pelvic ultrasonography (US). A history of pelvic pain along with an abnormal beta human chorionic gonadotropin level should trigger an evaluation ...
Al-Mujaini Abdullah - - 2008
BACKGROUND: Pregnancy is a well-known risk factor for central serous chorioretinopathy (CSCR). METHODS: Patients were examined using slit-lamp biomicroscopy, fundus examination, fundus photography, and optical coherence tomography, making note of best-corrected visual acuity. RESULTS: All patients had resolution of CSCR. INTERPRETATION: We present CSCR in 3 consecutive pregnant women without ...
Vichnin Michelle - - 2008
PURPOSE OF REVIEW: Ectopic pregnancy continues to be an important cause of morbidity and mortality in women. Tubal damage is the likely cause of ectopic pregnancy. Healthcare providers who care for adolescents must screen for and treat sexually transmitted diseases like Chlamydia in order to decrease the risk of tubal ...
Kamaya Aya - - 2008
Acute pelvic pain in the female patient can have myriad presentations and, depending on the diagnosis, profound consequences. In the pregnant patient with pelvic pain or bleeding, an ectopic pregnancy must be first excluded. Ultrasound is important in determining the size and location of the ectopic pregnancy, and presence of ...
Matsushita Ikue - - 2008
Without fibrinogen replacement, pregnancies in patients with congenital afibrinogenemia end in miscarriage between 6 and 8 weeks of gestation. Studies in animal models suggest that disturbance of the embryo's decidual attachment contributes to miscarriage in afibrinogenemia. Ectopic pregnancy in human congenital afibrinogenemia has not been previously documented. We present a ...
Cabar Fabio Roberto - - 2008
The introduction of highly sensitive methods, such as transvaginal sonography and measurement of serum b-human chorionic gonadotropin, has dramatically improved ectopic pregnancy diagnosis in recent years. Early diagnosis is the key to successful and conservative management of women with ectopic pregnancy; however, approximately 50 percent of such women are initially ...
Madendag Yusuf Y Department of Perinatology, Dr Zekai Tahir Burak Women Health Research and Education Hospital, Ankara, - - 2009
The present study aims to investigate the predictive power of serum CA-125 and lactate dehydrogenase (LDH) for evaluating the outcome of first trimester pregnancies with beta human chorionic gonadotropin levels below discriminatory zone (<or=1,000 mIU/mL). A total of 107 women with tubal ectopic pregnancies (30 ruptured and 77 unruptured), 105 ...
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