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Obstruction tubal

Abigail Wheal, Robert Jenkins, Yoshiki Mikami, Nagindra Das, Lynn Hirschowitz
Primary mucinous carcinoma of the fallopian tube is extremely rare. We report the detailed characterization of a mucinous carcinoma arising in the fimbrial end of the fallopian tube in a 74-yr-old woman. The patient presented with recurrent urinary tract infection and urinary tract obstruction secondary to a large right ovarian mass. She had an appendicectomy as an 11 yr old. Serum CA-125 was raised at 239 U/mL. Computed tomographic scans showed bilateral, cystic ovarian tumors but no other intra-abdominal abnormality...
September 22, 2016: International Journal of Gynecological Pathology
Margarita V Revzin, Mahan Mathur, Haatal B Dave, Matthew L Macer, Michael Spektor
Pelvic inflammatory disease (PID) is a common medical problem, with almost 1 million cases diagnosed annually. Historically, PID has been a clinical diagnosis supplemented with the findings from ultrasonography (US) or magnetic resonance (MR) imaging. However, the diagnosis of PID can be challenging because the clinical manifestations may mimic those of other pelvic and abdominal processes. Given the nonspecific clinical manifestations, computed tomography (CT) is commonly the first imaging examination performed...
September 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Huili Zhu, Jing Fu, Haike Lei, Yong Song, Licong Shen, Wei Huang
The aims of the present study were to evaluate the effectiveness of transvaginal sonography (TVS) in the detection of endometrial polyps (EPs), and to assess the pregnancy outcome in infertile women following hysteroscopic polypectomy. A total of 145 women diagnosed with primary or secondary infertility and intrauterine disorders by TVS and hysterosalpingography (HSG) were included in the current study. All subjects were divided into three groups based on hysteroscopic findings, including the EP, intrauterine adhesion and normal groups...
August 2016: Experimental and Therapeutic Medicine
Ov D Slayden, Dong Ock Lee, Shan Yao, Jeffrey T Jensen
OBJECTIVE: Intrauterine administration of polidocanol foam (PF) can create fallopian tube occlusion in nonhuman primates (NHPs). The objective of this study was to determine if PF induced tubal obstructions contain collagen in the extracellular matrix. STUDY DESIGN: We compared tissues samples of the intramural fallopian tube obtained from previous studies evaluating the effects of intrauterine infusion of 5% polidocanol foam 2-12weeks after treatment. Serial sections of the intramural portion of the fallopian tube obtained from representative treated (rhesus macaques n=7; baboon n=11) and untreated control (macaque n=3; baboon n=5) animals were stained with hematoxylin and eosin (H&E) to identify tubal occlusion, and by immunohistochemistry for collagen I (Col-I), Col-III, and Col IV...
July 11, 2016: Contraception
I Hernández-Marín, C I Aragón-López, P L Aldama-González, J Jiménez-Huerta
OBJECTIVE: To determine the prevalence of Chlamydia, Ureaplasma and Mycoplasma in patients with peritoneal tubal factor infertility and altered. MATERIAL AND METHODS: A descriptive, observational, retrospec- tive, transversal, infertility patients Juarez Hospital of Mexico 2013 to 2015. Study included patients with infertility diagnosis and detection of antibodies (IgG) by ELISA for Chlamydia and vaginal cultures for Mycoplasma and Ureaplasma, hysterosalpingography and histerolapa- roscopia with chromotubation RESULTS: 46 patients with a mean age of 32...
January 2016: Ginecología y Obstetricia de México
Justine Laroche, Nicolas Mottet, Marianna Malincenco, Catherine Gay, Pierre Yves Royer, Didier Riethmuller
Schistosomiasis is the second endemic parasitic disease in the world and is a common cause of urogenital infections. Ectopic pregnancies due to tubal obstruction by schistosoma's eggs are usually reported in Africa. Schistosomiasis also affects travelers but infection of the female genital tract is less frequently described. We report an unusual clinical case of two successive ectopic pregnancies with tubal schistosomiasis in a French woman, seven years after a travel to Mali. The first event was discovered after histologic examination of salpingectomy and the second event required a controlateral salpingotomy with an injection of methotrexate, two months later...
2016: Pan African Medical Journal
Erin M Murphy, Nigel Pereira, Alexis P Melnick, Steven D Spandorfer
UNLABELLED: Case presented at "Stump the Professors" 44th American Association of Gynecologic Laparoscopists Global Congress on Minimally Invasive Gynecology, NV, USA, 15-19 November 2015 BACKGROUND: Spontaneous torsion of the fallopian tubes is a rare condition, usually seen in acute settings or as incidental findings during laparoscopy. PRESENTATION OF THE CASE: A 34-year-old nulligravid woman with inability to conceive for 7 months presented to our center. Her hysterosalpingography revealed a blind-ending right fallopian tube, and a blocked and dilated left fallopian tube...
June 2016: Women's Health
Jonathan Cohen, Marcos Ballester, Lise Selleret, Emmanuelle Mathieu D'Argent, Jean M Antoine, Nathalie Chabbert-Buffet, Emile Darai
Deep infiltrating endometriosis (DIE) affects several anatomical locations including the bladder, torus uterinum, uterosacral ligament, rectovaginal septum and bowel. It is the most debilitating form of endometriosis and causes severe pain, digestive and urinary symptoms as well as infertility. Faced with an infertile woman suffering from DIE, the dilemma is whether to opt for first-line IVF treatment or for surgery. In the absence of high-level of evidence from randomized studies, several factors should be taken into account in the decision-making process...
December 2016: Minerva Ginecologica
Manisha Chhetry, Basudeb Banerjee, Shanti Subedi, Narayan Bahadur Gharti Chhetri, Yogendra Gupta
Caesarean section in a severely kyphotic patient presents with unique challenges. We report a case of obstructed labor in case of a pregnant lady with severe kyphosis of spine that was managed by caesarean section. Lateral recumbent position with adequate assistance and paramedian or vertical skin incision was used and found to provide good exposure. Baby was delivered by lower segment uterine incision by reverse breech extraction. Postpartum hemorrhage was managed with uterotonics and bilateral uterine artery ligation...
2016: Case Reports in Obstetrics and Gynecology
Emaduldin Mostafa Seyam, Momen Mohamed Hassan, Mohamed Tawfeek Mohamed Sayed Gad, Hazem Salah Mahmoud, Mostafa Gamal Ibrahim
BACKGROUND: The current research to the best of my knowledge is the first to compare the pregnancy outcome between ultrasound-guided tubal recanalization (UGTR) using a special fallopian tubal catheter, and office-based micrhysteroscopic ostial dilatation (MHOD) using the same tubal catherter in infertile women with previously diagnosed bilateral proximal tubal obstruction (PTO). MATERIALS AND METHODS: This prospective study reported the pregnancy outcomes for 200 women in private infertility care center in Arafa hospital in Fayoum and in El Minya University Hospital in the period between January 2010 and October 2013 treated as outpatients for their bilateral PTO after the routine hysterosalpingography (HSG)...
January 2016: International Journal of Fertility & Sterility
M E Smith, D J Scoffings, J R Tysome
INTRODUCTION: The Eustachian tube is a complex and inaccessible structure, which maintains middle ear ventilation to facilitate transmission of sound from the tympanic membrane to the cochlea. A renewed interest in treatments for eustachian tube dysfunction has led to a demand for methods of imaging the Eustachian tube, and assessing tube opening non-invasively. This review aims to summarise the use of imaging in the anatomical assessment of the Eustachian tube, and to explore how radiological techniques can be used to assess tube function...
June 2016: Neuroradiology
Maruti Sinha, Ridhima Gupta, Pushpender Gupta, Rekha Rani, Ramanjeet Kaur, Rahil Singh
OBJECTIVE: To identify the obstetric risk factors, incidence, and causes of uterine rupture, management modalities, and the associated maternal and perinatal morbidity and mortality in one of the largest tertiary level women care hospital in Delhi. MATERIALS AND METHODS: A 7-year retrospective analysis of 47 cases of uterine rupture was done. The charts of these patients were analyzed and the data regarding demographic characteristics, clinical presentation, risk factors, management, operative findings, maternal and fetal outcomes, and postoperative complications was studied...
January 2016: Indian Journal of Community Medicine
Shadi Rezai, Meghan LaBine, Hunter Azdel Gomez Roberts, Isamarie Lora Alcantara, Cassandra E Henderson, Malvina Elmadjian, Dilfuza Nuritdinova
Background. The Essure device is a method of permanent sterilization widely used in the US that has proven to be safe and effective in most cases. However, there have been reports of device migration that have led to failed tubal occlusion as well as several other serious complications resulting from the presence of the device in the abdominal cavity. Case. This paper represents two cases of failed tubal occlusion by an appropriately placed Essure device without signs or symptoms of further complications related to device migration...
2015: Case Reports in Obstetrics and Gynecology
Jean Pierre Schatzmann Peron, Auriléia Aparecida de Brito, Mayra Pelatti, Wesley Nogueira Brandão, Luana Beatriz Vitoretti, Flávia Regina Greiffo, Elaine Cristina da Silveira, Manuel Carneiro Oliveira-Junior, Mariangela Maluf, Lucila Evangelista, Silvio Halpern, Marcelo Gil Nisenbaum, Paulo Perin, Carlos Eduardo Czeresnia, Niels Olsen Saraiva Câmara, Flávio Aimbire, Rodolfo de Paula Vieira, Mayana Zatz, Ana Paula Ligeiro de Oliveira
Cigarette smoke-induced chronic obstructive pulmonary disease is a very debilitating disease, with a very high prevalence worldwide, which results in a expressive economic and social burden. Therefore, new therapeutic approaches to treat these patients are of unquestionable relevance. The use of mesenchymal stromal cells (MSCs) is an innovative and yet accessible approach for pulmonary acute and chronic diseases, mainly due to its important immunoregulatory, anti-fibrogenic, anti-apoptotic and pro-angiogenic...
2015: PloS One
Gene Hyuk Kwon, Sung Eun Rha, Eun Young Ki, Seok Nyeon Bae, Ahwon Lee
Leiomyomas from the fallopian tube are very rare and usually asymptomatic but may cause symptoms by torsion or obstruction. Herein, we describe the detailed imaging findings of tubal leiomyoma with myxoid degeneration. Tubal leiomyoma appeared as a well-defined juxtauterine tumor marginated by low-signal rims with intervening bridging vessels between the tumor and uterus. A tubal mass showing heterogeneous speckled high signals with intermediate signal background on T2-weighted image without diffusion restriction could suggest the probability of tubal leiomyoma with mxoid degeneration...
November 2015: Clinical Imaging
Qi Cheng, Sha-sha Wang, Xian-sheng Zhu, Fan Li
OBJECTIVE: To investigate diagnostic efficacy of transvaginal three-dimensional hysterosalpingo-contrast sonography (3D-HyCoSy) in assessing tubal patency with chromolaporoscopy. METHODS: A total of 157 infertile women underwent 3D-HyCoSy to evaluate tubal patency. Among these patients, 39 patients were also examined by chromolaporoscopy. The concordance of the two clinical assessment methods was analyzed by the Kappa coefficient test. RESULTS: Among the 306 oviducts examined by 3D-HyCoSy, 99 (32...
June 2015: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
Bronisława Pietrzak, Natalia Mazanowska, Bożena Kociszewska-Najman, Iwona Szymusik, Barbara Grzechocińska, Joanna Pazik, Zoulikha Jabiry-Zieniewicz, Anna Popow, Mirosław Wielgos
BACKGROUND: Successful spontaneous pregnancy in a kidney graft recipient is regarded as a sign of full recovery. The crucial factors determining positive outcome are optimizing time of conception and multidisciplinary team care. However, there are only a few reports dealing with in vitro fertilization (IVF) outcomes in organ recipients. CASE REPORT: A 34-year-old living donor kidney recipient with primary infertility due to bilateral tubal obstruction was referred to our clinic...
2015: Annals of Transplantation: Quarterly of the Polish Transplantation Society
(no author information available yet)
This document reviews surgical options for achieving patency in obstructed fallopian tubes and the factors that must be considered when deciding between surgical repair and IVF. This document replaces the document of the same name, last published in 2012 (Fertil Steril 2012;97:539–45).
June 2015: Fertility and Sterility
Chao He, Xuanpeng Ma
A major cause of female infertility is fallopian tube obstruction and traditional conservative and interventional treatments have been largely unsuccessful, especially in patients with distal tubal obstruction. The objective of the current study was to compare the curative outcome of ozone (treatment group) and conventional interventional treatment (comparison group) through comparing the different effects in the infertility cases caused by fallopian tube obstruction, with the purpose to provide future reference for better treatment regimen for tubal obstruction...
2015: International Journal of Clinical and Experimental Medicine
I Briceag, A Costache, V L Purcarea, R Cergan, M Dumitru, I Briceag, M Sajin, A T Ispas
RATIONALE: Around 30% of the infertile women worldwide have associated Fallopian tubes pathology. Unfortunately, for a long time, this aspect of infertility has been neglected due to the possibility of bypassing this deadlock through IVF. OBJECTIVE: Up to date free full text literature was reviewed, meaning 4 major textbooks and around 100 articles centered on tubal infertility, in order to raise the awareness on this subject. METHODS AND RESULTS: The anatomy of the Fallopian tube is complex starting from its embryological development and continuing with its vascular supply and ciliated microstructure, that is the key to the process of egg transport to the site of fertilization...
April 2015: Journal of Medicine and Life
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