Ectopic molar pregnancy is a rare occurrence and consequently not often considered as a diagnostic possibility. In this article, an attempt was made to stress on the need for histopathological examination and follow up of every case of ectopic pregnancy. This was substantiated with the help of a case report. A year-old gravida 4, para 3, pregnant woman with a 7-week history of amenorrhea attended hospital with abdominal pain.
This article has been cited by other articles in PMC. Interstitial pregnancy is a rare and life-threatening condition. Diagnosis and appropriate management are critical in preventing morbidity and death. Four cases of interstitial pregnancy are presented.
Diagnostic laparoscopy followed by laparotomy and cornuostomy with removal of products of conception was performed in 1 case.
Laparoscopic cornuostomy and removal of products of conception were performed in the subsequent 3 cases with some modifications of the technique.
Subsequent successful reproductive outcomes are also presented. Progressively conservative surgical measures are being used to treat interstitial pregnancy successfully, with no negative impact on subsequent pregnancies. By definition, a cornual pregnancy refers to the implantation and development of a gestational sac in one of the upper and lateral portions of the uterus.
Conversely, an interstitial pregnancy is a gestational sac that implants within the proximal, intramural portion of the fallopian tube that is enveloped by the myometrium. The mortality rate for ectopic pregnancies overall is 0. Because of its unique location, interstitial pregnancy remains one of the most difficult ectopic pregnancies to diagnose.
Increasingly more conservative approaches are being used such as cornuostomy instead of cornual resection, as well as laparoscopy in place of laparotomy. Many cases of laparoscopic cornuostomy have been described in the literature so far.
Diagnostic Laparoscopy Operative Sample Report. DATE OF OPERATION: MM/DD/YYYY. PREOPERATIVE DIAGNOSIS: Left tubal ectopic pregnancy. POSTOPERATIVE DIAGNOSIS: Normal pelvis. No signs of hemoperitoneum or ectopic pregnancy. OPERATION PERFORMED: With no evidence of any ectopic . An ectopic pregnancy occurs when a fertilized egg implants itself outside of the uterus. They’re also called “tubal pregnancies” because most of them happen in the fallopian tubes. Whether. Bilateral tubal ectopic pregnancies are rare occurrences. Two recently managed cases are discussed. The first was a single, sexually active year-old nullipara with family history of twinning who presented with eight weeks amenorrhea, positive pregnancy test, lower abdominal discomfort and other clinical and ultrasound findings suggestive of unruptured left tubal pregnancy.
Moon et al described a favorable reproductive outcome in 11 cases that were treated by laparoscopic cornuostomy and in which delivery by elective cesarean section was performed at term without any complications. Su et al 17 reported a uterine rupture at the scar of a prior laparoscopic cornuostomy after vaginal delivery of a full-term healthy neonate.
On the basis of the available literature, more data are needed to determine the best technique of laparoscopic cornuostomy and its subsequent reproductive outcome. We report 4 cases of interstitial ectopic pregnancies managed with increasingly more conservative approaches of cornuostomy and their subsequent reproductive outcome.
The underlying etiology included male factors and tubal factors with a history of Chlamydia infection in the past.
The first cycle resulted in a missed abortion. The patient underwent a suction dilatation and curettage. A subsequent cycle with intrauterine insemination after controlled ovarian stimulation resulted in no pregnancy. A second cycle of ICSI resulted in pregnancy.CASE REPORT ectopic pregnancy, ovarian; pregnancy, complication; pregnancy, ovarian ectopic Ovarian Ectopic Pregnancy The operative diagnosis of corpus luteum cyst or hemorrhagic corpus luteum pregnancy in a patient suspected of having a tubal ectopic gestation.
James T Sturm, MD* Daniel G Hankins, MD* John W Malo, MDt. An ectopic pregnancy is a pregnancy that develops outside the mother's womb when the fertilized egg from the ovary does not implant itself normally in the uterus. It is usually found in the first weeks of pregnancy.
Diagnostic Laparoscopy Operative Sample Report. DATE OF OPERATION: MM/DD/YYYY. PREOPERATIVE DIAGNOSIS: Left tubal ectopic pregnancy. POSTOPERATIVE DIAGNOSIS: Normal pelvis. No signs of hemoperitoneum or ectopic pregnancy. OPERATION PERFORMED: With no evidence of any ectopic .
Abdominal pregnancy is a rare form of ectopic pregnancy with very high morbidity and mortality for both the mother and the foetus. 4 In this case it was obvious that the abdominal implantation was secondary to undiagnosed ruptured left tubal ectopic pregnancy. Clinical diagnosis can be very difficult and ultrasound is very helpful during.
Bilateral Ectopic Pregnancy: Case Report Corresponding Author: Dr. Sultan Karali, Diagnosis as left tubal pregnancy and right tubal diagnosed intra-operative.
The principle management in case of ectopic pregnancy has become a conservative approach that. The tubal segments were then injected with the same local anesthetic. A similar procedure was done on the left.
The peritoneum and fascia were closed in one layer using 0 .