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abdominal ectopic pregnancy

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https://www.readbyqxmd.com/read/29785546/diagnosis-and-management-of-primary-hepatic-pregnancy-literature-review-of-31-cases
#1
REVIEW
Jicai Wang, Zhilei Su, Shounan Lu, Wen Fu, Zhifa Liu, Xingming Jiang, Sheng Tai
PURPOSE: To summarize the appropriate diagnostic methods and therapeutic options for primary hepatic pregnancy (PHP). METHODS: Literature searches were performed in Pubmed, Web of Science, Cochrane Library and Embase databases (1956-2017), using the following search terms: primary hepatic pregnancy, hepatic pregnancy, liver pregnancy, hepatic ectopic pregnancy and intrahepatic pregnancy. Further literature was confirmed through cross-referencing. RESULTS: Thirty-one cases were reviewed and collected...
May 21, 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29751813/ruptured-caesarean-scar-ectopic-pregnancy-a-diagnostic-dilemma-in-a-resource-limited-setting
#2
Atem Bethel Ajong, Bruno Kenfack, Valirie Ndip Agbor, Philip Nana Njotang
BACKGROUND: Caesarean scar pregnancy (CSP) remains a very rare form of ectopic pregnancy associated with serious life threatening obstetric complications and even death in case of late diagnosis and treatment. CASE PRESENTATION: We report a case of a ruptured caesarean scar pregnancy in a 29 year-old gravida 5, para 3 with a past obstetric history of two consecutive caesarean sections done 9 and 5 years ago respectively. The patient presented with intermittent lower abdominal pains on a 20 weeks gestation associated with mild epigastralgia and 2 previous episodes of mild pervaginal bleeding (2 and 1 months ago respectively before consultation) managed with injectable progesterone...
May 11, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29751791/a-cohort-of-women-with-ectopic-pregnancy-challenges-in-diagnosis-and-management-in-a-rural-hospital-in-a-low-income-country
#3
R Mooij, G C Mgalega, I H Mwampagatwa, J van Dillen, J Stekelenburg
BACKGROUND: Ectopic pregnancy (EP) is a serious complication of early pregnancy. In low-income countries diagnosis of EP is difficult and it is a major contributor to maternal mortality. We aimed to assess and improve the diagnostic process of women with EP. METHODS: We conducted a retrospective medical records study of all women with confirmed EP in Ndala Hospital from 2010 to 2012. We used data on demographics, symptoms, diagnostic procedures, surgical findings, treatment and post-operative status...
May 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29713741/magnetic-resonance-imaging-of-common-uncommon-and-rare-implantation-sites-in-ectopic-pregnancy
#4
REVIEW
Subramaniyan Ramanathan, Vineetha Raghu, Sushila B Ladumor, Anita N Nagadi, Yegu Palaniappan, Vikram Dogra, Nicola Schieda
OBJECTIVE: To review the MRI appearances of tubal and non-tubal implantation sites in ectopic pregnancy. CONCLUSION: Transvaginal ultrasound is the primary imaging modality in ectopic pregnancy and MRI is used as a problem-solving tool in selected indications as detailed in the article. MRI features of tubal, interstitial, cervical, cesarean scar, cornual, ovarian, abdominal, and heterotopic pregnancies are provided to familiarize the radiologists with their appearances thereby assisting them in making early and accurate diagnosis...
April 30, 2018: Abdominal Radiology
https://www.readbyqxmd.com/read/29703001/successful-diagnosis-and-treatment-of-early-splenic-ectopic-pregnancy-a-case-report
#5
Lan Wu, Xiaoqin Jiang, Juan Ni
INTRODUCTION: Splenic ectopic pregnancy (SEP), a special abdominal pregnancy, is extremely rare but carries a high risk of potentially uncontrollable, life-threatening intraperitoneal bleeding at early gestation, which is equivalent to the spontaneous rupture of the spleen. Therefore, early diagnosis of SEP is crucial and may avoid life-threatening situation. CASE PRESENTATION: A 29-year-old G3P2 woman presented with 50 days of amenorrhea and positive serum β-human gonadotropin (β-HCG) was enrolled into the hospital due to the absence of gestational sac located in the uterine cavity...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29661236/clinical-analysis-of-50-patients-with-heterotopic-pregnancy-after-ovulation-induction-or-embryo-transfer
#6
Zaigui Wu, Xinmei Zhang, Ping Xu, Xiufeng Huang
OBJECTIVES: The purpose of this study was to evaluate the clinical characteristics, prenatal diagnosis, and management of patients with heterotopic pregnancy after ovulation induction or embryo transfer. METHODS: This was a retrospective study of fifty cases with heterotopic pregnancy, in which the fertilization way, type and number of embryo transferred, gestational age, clinical presentation and outcome of intrauterine, ultrasound presentation and site of ectopic pregnancy, bilateral fallopian tube and treatment were evaluated...
April 16, 2018: European Journal of Medical Research
https://www.readbyqxmd.com/read/29657689/successful-management-of-abdominal-pregnancy-two-case-reports
#7
Shabnam Saquib, Wafa Elhussein Mohammed Talha
Abdominal pregnancy is a rare, life-threatening condition defined as pregnancy in the peritoneal cavity exclusive of tubal, ovarian, or intraligamentary locations. It can be primarily located in the peritoneal cavity or secondary to a ruptured ectopic pregnancy or tubal abortion. We present two cases of abdominal pregnancy, one primary and another secondary, both diagnosed and successfully managed in our institution. The first patient, a para 2 at 14 weeks gestation, presented with abdominal pain, distension, and dizziness, which had started four days prior...
March 2018: Oman Medical Journal
https://www.readbyqxmd.com/read/29650046/blighted-ovum-and-tubal-pregnancy-a-rare-form-of-heterotopic-pregnancy-case-report
#8
Desmond Aroke, Larry Tangie Ngek, Maxime Tindong, Esua Fomanka, Colette Achu, Arnold Agwe Tanah, Benjamin Momo Kadia
BACKGROUND: Heterotopic pregnancies are rare in spontaneous conceptions. Nonetheless, when it does occur, the intrauterine pregnancy is usually viable. We herein present a true rarity of the coexistence of a blighted ovum and an ectopic pregnancy. CASE PRESENTATION: A 25 year old G2P1001 married seamstress of African ethnicity at 8 weeks of amenorrhoea presented to our health facility with a 4 day history of lower abdominal pains and vaginal bleeding for which physical examination revealed a closed cervix...
April 12, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29594007/heterotopic-interstitial-pregnancy-a-case-report
#9
Joy Anderson, Chase Patterson, April Riley
Introduction: Before the advent of assisted reproductive technologies, the incidence of heterotopic pregnancy was estimated to be in 1 out of 30,000 pregnancies in the United States. With interstitial pregnancy comprising only 2.4% of ectopic pregnancies, spontaneous heterotopic interstitial pregnancies are exceedingly rare. Case: A 27-year-old pregnant woman (gravida 3 para 1011) with a history of one prior term vaginal delivery and a spontaneous abortion in the first trimester presented to the emergency department with abdominal pain and a positive home pregnancy test...
January 2018: Case Reports in Women's Health
https://www.readbyqxmd.com/read/29576332/ultrasound-guided-embryo-transfer-summary-of-the-evidence-and-new-perspectives-systematic-review-and-meta-analysis
#10
REVIEW
Mauro Cozzolino, Amerigo Vitagliano, Maria Valentina Di Giovanni, Antonio Simone Laganà, Salvatore Giovanni Vitale, Mija Blaganje, Kristina Drusany Starič, Kobal Borut, Tito Silvio Patrelli, Marco Noventa
Despite the purported advantages of ultrasound guidance during embryo transfer, and the large number of clinical trials published on this topic, recommendations for the use of this technique in daily clinical practice are still under debate. We designed a meta-analysis based exclusively on evidence from published randomized controlled trials, with the aim of analysing the effect of trans-abdominal ultrasound guidance during embryo transfer versus clinical touch and of transvaginal ultrasound guidance (TV-US) versus the trans-abdominal approach on IVF outcomes...
February 15, 2018: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/29558344/a-positive-urine-pregnancy-test-upt-with-adnexal-mass-ectopic-pregnancy-is-not-the-ultimate-diagnosis
#11
Mohd Faizal Ahmad, Muhammad Azrai Abu, Kah Teik Chew, Kun Leng Sheng, Mohd Asyraf Zakaria
A positive urine pregnancy test (UPT) with adnexal mass in ectopic pregnancy is not the ultimate diagnosis. The incidence of ectopic pregnancy is about 27 per 1000 pregnancies [1]. On average, about 6-16% will present to an emergency department with first-trimester bleeding and abdominal pain [2]. On presenting with these symptoms with the simultaneous presence of an adnexal mass and an empty uterus, a UPT is of paramount importance to determine whether the symptoms are pregnancy related or not. When the UPT is positive, an ectopic pregnancy is not the only diagnosis as the rare entity of non-gestational ovarian choriocarcinoma (NGOC) should be considered...
March 20, 2018: Hormone Molecular Biology and Clinical Investigation
https://www.readbyqxmd.com/read/29550756/case-of-hepatic-flexure-ectopic-pregnancy-medically-managed-with-methotrexate
#12
Charlotte Elizabeth Trail, Andrew Watson, Alice Martha Schofield
Abdominal pregnancies represent 1.4% of extrauterine pregnancies. A literature search of six cases involving bowel ectopic pregnancies provided anecdotal treatment options. This case involves a woman admitted at 6 weeks gestation with right iliac fossa and shoulder tip pain. An ultrasound scan revealed an empty uterus with free fluid in both adnexa and a 31×21 mm heterogenous mass adjacent to the right ovary. At laparoscopy, an ectopic pregnancy was identified at the hepatic flexure. The patient received two doses of methotrexate and monitored until the beta human chorionic gonadotropin reduced...
March 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29420399/appendiceal-endometriosis-and-ectopic-pregnancy-occurring-simultaneously
#13
Anat Chemerinski, Daniel Lubin, Sevelle Holder, Divya Shah
BACKGROUND: In the setting of a known ectopic pregnancy, severe abdominal pain with clinical concern for rupture is an indication for emergency surgery. In rare cases, appendiceal pathology may occur simultaneously. CASE: A woman with a known ectopic pregnancy presented to the emergency department with a clinical picture consistent with its rupture. At the time of surgery, an appendectomy also was performed owing to concern for concurrent appendicitis; histopathologic examination revealed appendiceal endometriosis...
March 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29390363/ruptured-secondary-abdominal-pregnancy-after-primary-laparoscopic-treatment-for-tubal-pregnancy-a-case-report
#14
Duoduo Zhang, Anxia Chen, Yu Gu
INTRODUCTION: Most secondary abdominal pregnancies happen after spontaneous abortion of tubal pregnancy or ruptured intrauterine pregnancy. However, we presented a case of ruptured secondary abdominal pregnancy after primary laparoscopic treatment of tubal pregnancy. CASE REPORT: The ectopic pregnant lesion in the affected tube was thoroughly removed in the primary laparoscopy, and nothing abnormal was detected in abdomen or pelvis. Beta human chorionic gonadotropin levels dropped significantly after surgery, but the patient came back again for severe abdominal pain with beta human chorionic gonadotropin increasing, and free peritoneal fluid in the pouch of Douglas was detected at ultrasonography...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29372163/a-secondary-abdominal-pregnancy-with-unusual-placental-implantation-in-the-fallopian-tube-a-diagnostic-challenge
#15
Algeri Paola, Nicoli Elena, Rota Sonia Maria, Caruso Orlando, Manfredini Cinzia, Buzzi Antonella
We reported a case of secondary abdominal pregnancy with placental implantation into the fallopian tube, diagnosed at 16 weeks, in a woman admitted to the emergency room complaining of syncopal attacks. The best approach would be termination of the pregnancy, taking into consideration the high risk to the mother and the low possibility of alive and healthy birth. We had to perform an urgent surgical intervention due to the fact that the patient was in a clinically unstable condition, which was related to hemoperitoneum...
January 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29371170/comparison-of-long-term-fertility-outcomes-after-myomectomy-relationship-with-number-of-myomas-removed
#16
Shirley Shue, Milena Radeva, Tommaso Falcone
STUDY OBJECTIVE: To determine if the number of myomas removed during myomectomy for symptomatic relief affects long-term fertility outcomes in reproductive-aged women. DESIGN: Retrospective cohort survey study (Canadian Task Force classification II-2). SETTING: University hospital. PATIENTS: One hundred forty-four patients who underwent myomectomy for symptomatic myomas and attempted to conceive afterward. INTERVENTION: Questionnaire mailed to reproductive-aged women who received robotic, laparoscopic, or abdominal myomectomy...
January 31, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29316709/screaming-body-and-silent-healthcare-providers-a-case-study-with-a-childhood-sexual-abuse-survivor
#17
REVIEW
Sigrun Sigurdardottir, Sigridur Halldorsdottir
Stressful early life experiences cause immune dysregulation across the lifespan. Despite the fact that studies have identified childhood sexual abuse (CSA) survivors as a particularly vulnerable group, only a few attempts have been made to study their lived-experience of the physical health consequences of CSA. The aim of this study was to explore a female CSA survivor's lived-experience of the physical health consequences of CSA and how she experienced the reactions of healthcare providers. Seven interviews were conducted with this 40-year-old woman, Anne, using a phenomenological research approach...
January 8, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29310411/evaluating-a-magnetic-resonance-imaging-of-the-third-trimester-abdominal-pregnancy-what-the-radiologist-needs-to-know
#18
Mei-Xiang Deng, Yu Zou
INTRODUCTION: A 33-week abdominal pregnancy is an extremely rare type of ectopic pregnancy that is potentially life-threatening for the mother and fetus. Reports of using magnetic resonance imaging (MRI) in the third-trimester abdominal pregnancy are very few. PATIENT CONCERNS: A 24-year-old woman (gravida 2, para 1, living 0) at 33 weeks' gestation presented to local hospital complaining of vaginal bleeding for 2 months and lower abdominal pain for 2 days. Then, the woman was transferred to our hospital for suspected abdominal pregnancy, which was confirmed at our hospital on ultrasonography and further evaluated in detail on MRI...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29276586/postoperative-enterocutaneous-fistula-principles-in-non-operative-approach
#19
E A Sule, M A Nzegwu, J C Okolo, R U Onyemekheia
Introduction: Postoperative enterocutaneous fistulae could constitute a challenge when they occur following an abdominal surgery. Astute application of correct principles in its management is essential for good outcomes. Methods: A retrospective review of records of patients with enterocutaneous fistulas managed non-operatively was done. Clinical assessment, anatomic and physiologic classification of fistula, fluid resuscitation, electrolyte correction, parenteral/enteral nutrition, antibiotic use and fistula effluent monitoring, formed the basis of management...
December 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/29237662/advanced-abdominal-pregnancy-in-a-spontaneous-heterotopic-pregnancy
#20
Nuno Maciel, Ana Furtado Lima, Rosa Cruz, Carlos Ponte
Spontaneous heterotopic pregnancy is a potentially life-threatening condition rarely considered when a patient with an intrauterine pregnancy is asymptomatic or presents with complaints such as abdominal pain. An advanced abdominal pregnancy as the form of the ectopic component, outside the context of assisted reproduction, is an even more unusual and perilous diagnosis with very few cases reported in the literature. We report such a case in a 34-year-old multipara, with no known risk factors for ectopic pregnancy...
December 13, 2017: BMJ Case Reports
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