Document Detail

Ectopic pregnancy. A recent five-year study and review of the last 50 years' literature.
MedLine Citation:
PMID:  8913974     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the past and current clinical and pathologic factors that are responsible for ectopic pregnancy (EP). STUDY DESIGN: We performed a retrospective chart and histopathologic specimen review of 740 cases of EP during a recent, five-year period. Products of conception, as well as 240 cases of concomitant endometrial biopsies, were examined. RESULTS: The mean age at presentation, proportion of patients with a history of pelvic inflammatory disease, voluntary interruption of pregnancy (VIP), previous surgery and laterality (right side) of the tubal EP were similar to rates reported in previous studies. Ninety-four percent of the EPs were tubal, and 90% of the tubes exhibited some pathologic changes, including chronic salpingitis (49.5%) and follicular salpingitis (10%), among others. Gestational endometrial patterns were seen in 44% of cases. The corpus luteum of pregnancy was contralateral in 30% of cases in which an ovarian biopsy was performed. CONCLUSION: The factors classically associated with EP remained similar over a period of about 50 years, although the association with VIP still appears to be controversial. Endometrial curettage alone cannot be used to exclude an EP. Ovum transmigration may play a role in the genesis of EP.
N C Ramirez; W D Lawrence; K A Ginsburg
Related Documents :
18054354 - Robotic tubal anastomosis: surgical technique and cost effectiveness.
8408524 - The multicentre transcervical balloon tuboplasty study: conclusions and comparison to a...
1153144 - Puerperal myocardiopathy complicating stimulataneous uterine and tubal pregnancies.
6719164 - Report of a high pregnancy rate after sterilization with the bleier clip.
3630604 - Comparison of histoenzymological alterations in the contralateral ovary of nulliparous ...
7393504 - Maternal perception of fetal movement and perinatal outcome.
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  41     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1997-02-20     Completed Date:  1997-02-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  733-40     Citation Subset:  IM    
Department of Pathology, Hutzel Hospital-Detroit Medical Center, Wayne State University School of Medicine, Michigan, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cervix Uteri / pathology
Endometrium / pathology
Fallopian Tubes / pathology
Middle Aged
Pregnancy, Ectopic / epidemiology,  etiology,  pathology*
Pregnancy, Tubal / pathology
Retrospective Studies
Risk Factors
Salpingitis / pathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Outpatient loop electrosurgical excision procedure for cervical intraepithelial neoplasia. Can it re...
Next Document:  Neonatal electrolyte response to amnioinfusion with lactated Ringer's solution vs. normal saline. A ...