20,094 results match your criteria Pregnancy Ectopic


Hysteroscopy-assisted laparoscopic salpingectomy for interstitial pregnancy without cornual resection.

Fertil Steril 2021 Jun 8. Epub 2021 Jun 8.

Reproductive Biology Associates, Atlanta, Georgia.

Objective: To illustrate a novel surgical management technique for interstitial ectopic pregnancies (IP).

Design: Video description of the case, demonstration of the surgical technique, reevaluation at the 6-week postoperative follow-up, and review of the advantages of this surgical technique for IP.

Setting: Tertiary referral center. Read More

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Adverse Pregnancy Outcomes in Endometriosis - Myths and Realities.

Curr Obstet Gynecol Rep 2020 Mar 30;9(1):27-35. Epub 2020 Jan 30.

Department of Epidemiology, Harvard T.H. Chan School of Public Health.

Purpose Of Review: There is increasing interest in the long-term health and comorbid conditions associated with endometriosis for both women and neonates. The purpose of this review was to synthesize and discuss the current state of the literature investigating endometriosis and risk of adverse pregnancy outcomes.

Recent Findings: Methodologic considerations for studying endometriosis and adverse pregnancy outcomes include complexities regarding the comparison population, endometriosis definition, sample size, residual confounding, and interactions. Read More

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Evaluation of Adherence Rates following Ectopic Pregnancy to Inform Management Decisions in a Public Hospital System.

J Gynecol Obstet Hum Reprod 2021 Jun 6:102180. Epub 2021 Jun 6.

Northwestern University Feinberg School of Medicine, Department of Obstetrics & Gynecology; John H. Stroger Hospital, Department of Obstetrics & Gynecology, Division of Family Planning. Electronic address:

Introduction: Adherence to follow-up is an important consideration when treating non-emergent ectopic pregnancy. Our aim was to evaluate the management of ectopic pregnancy among patients in a public hospital system and to identify factors related to adherence of medical management in this population.

Material And Methods: A retrospective review to evaluate the management of ectopic pregnancy among women in a public hospital system, including all women undergoing treatment for ectopic pregnancy from 2012 to 2017. Read More

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Salpingectomy confirms tubal fibroid and recurrent miscarriage rather than recurrent tubal ectopic pregnancy.

J Minim Invasive Gynecol 2021 Jun 5. Epub 2021 Jun 5.

From the Department of Gynaecology, The Royal Women's Hospital Parkville, Victoria, Australia.

This case focused on a 39-year-old female with a significant history of secondary, infertility recurrent miscarriage and recurrent suspected left tubal ectopic pregnancy which was initially managed repeatedly and conservatively with methotrexate. Eventual laparoscopic assessment and left salpingectomy instead confirmed a left, tubal fibroid. Therefore, previous episodes of suspected ectopic pregnancy were likely, recurrent miscarriage. Read More

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Massive hemoperitoneum without peritoneal signs: An unusual presentation of omental ectopic rupture. A case report.

Case Rep Womens Health 2021 Jul 15;31:e00327. Epub 2021 May 15.

West Virginia University School of Medicine, United States of America.

Background: Extrauterine ectopic pregnancy is a rare form of ectopic pregnancy, accounting for roughly 1:10,000-30,000 of all pregnancies. Primary omental pregnancy is the least common form of abdominal ectopic pregnancies, making it extremely rare. Typical presentation includes pelvic pain, secondary amenorrhea, with or without vaginal bleeding. Read More

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"The bagel and blob signs in tubal ectopic pregnancy".

Radiol Case Rep 2021 Jul 21;16(7):1851-1853. Epub 2021 May 21.

Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East #1A71, Salt Lake City, UT 84132.

An ectopic pregnancy carries the potential for disastrous maternal complications. Early first trimester pelvic ultrasound examinations are frequently obtained in cases of pelvic pain and vaginal bleeding to assess for such diagnoses. The "bagel sign" and the "blob sign" described two sonographic appearances of tubal ectopic pregnancy with positive predictive values of > 95%. Read More

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Predictive value of PAPP-A for ectopic pregnancy and analysis of related factors.

Exp Ther Med 2021 Aug 26;22(2):801. Epub 2021 May 26.

Department of Obstetrics, Affiliated Hospital of Jining Medical University, Jining, Shandong 272000, P.R. China.

The present study was designed to analyze the expression of pregnancy-associated plasma protein-A (PAPP-A) in the serum of patients with ectopic pregnancy (EP) and related factors inducing this condition. Seventy-five patients with EP admitted to the Affiliated Hospital of Jining Medical University from January 2018 to February 2019 were selected as the research group, and another 59 healthy pregnant women of the corresponding age, gravidity and gestational week were enrolled in the control group. ELISA was employed to detect the serum expression levels of PAPP-A and inflammatory factors such as interleukin-8 (IL-8) and tumor necrosis factor-α (TNF-α). Read More

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Reported chlamydia and gonorrhea are decreasing among young Black women: Good news or bad news? A narrative review.

Sex Transm Dis 2021 Jun 5. Epub 2021 Jun 5.

Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Division of STD Prevention, Atlanta, GA Michigan Department of Health and Human Services, Detroit, MI.

Abstract: Since 2010, reported chlamydia and gonorrhea rates decreased among Black women aged 15-19 years and were stable for Black women 20-24 in the United States. Rates increased for older Black women 25-39 and all White women. The Black:White rate ratio decreased across age groups. Read More

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The relationship between serum thiol levels and thiol/disulfide homeostasis in women with tubal ectopic pregnancy.

J Gynecol Obstet Hum Reprod 2021 Jun 2:102175. Epub 2021 Jun 2.

Department of Obstetrics and Gynecology, Bezmialem Vakıf University, Istanbul, Turkey.

Objective: The aim of this study was to investigate the thiol/disulfide homeostasis in tubal ectopic pregnancies in terms of early diagnosis of the disease.

Design: A prospective case-control study was carried out between June 2017-February 2018 in the Gynaecology Department of Umraniye Medical and Research Hospital.

Materials And Methods: A total of 42 women with ectopic pregnancy were compared with 44 healthy women who have intrauterine first trimester pregnancies. Read More

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Effects of localisation of uterine adenomyosis on outcome of in vitro fertilisation/intracytoplasmic sperm injection fresh and frozen-thawed embryo transfer cycles: a multicentre retrospective cohort study.

Reprod Biol Endocrinol 2021 Jun 4;19(1):84. Epub 2021 Jun 4.

Department of Obstetrics and Gynecology, Akita University Graduate School of Medicine, 010-8543, Akita, Japan.

Background: Uterine adenomyosis is a benign disease, common among women in their 40 and 50 s, characterised by ectopic endometrial tissue in the uterine myometrial layer. Adenomyosis causes infertility and has a negative effect on the outcomes of in vitro fertilisation (IVF)/intracytoplasmic sperm injection (ICSI) embryo transfer (ET) cycles. It has also been reported to have different characteristics depending on the adenomyotic lesion localisation. Read More

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Ectopic pregnancy in noncommunicating horn of unicornuate uterus: 3D-ultrasound and primary laparoscopic management.

Clin Case Rep 2021 May 24;9(5):e04261. Epub 2021 May 24.

Department of Gynecology and Obstetrics University Hospitals Schleswig-Holstein Kiel Germany.

Unicornuate uterus with pregnancy in the noncommunicating rudimentary horn is extremely rare. Diagnosis requires awareness, high suspicion index, 3D ultrasound, and MRI. If missed, it can be catastrophic. Read More

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Anaesthesia for ruptured ectopic pregnancy at district level.

S Afr Fam Pract (2004) 2021 May 27;63(1):e1-e5. Epub 2021 May 27.

Department of Anaesthetics, Critical Care and Pain Management, University of KwaZulu-Natal, Durban.

In South Africa, deaths as a result of ectopic pregnancies are increasing despite the overall improvements in maternal mortality. These deaths occur predominantly in district hospitals, with the final cause of death being hypovolaemic shock in almost all cases. In most cases, no anaesthesia was attempted despite the district hospitals having the clinical skills, equipment and infrastructure to provide a caesarean delivery service. Read More

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Outcomes of cesarean scar pregnancy treatment: Do we have options?

Turk J Obstet Gynecol 2021 06;18(2):85-91

Başkent University Faculty of Medicine, Adana Dr. Turgut Noyan Research and Application Center, Clinic of Obstetrics and Gynecology, Adana, Turkey

Objective: To investigate the success and complications of medical and surgical modalities used in the treatment of cesarean scar pregnancies.

Materials And Methods: Medical and surgical approaches that have been used to treat cesarean scar pregnancies were evaluated retrospectively, Local, systemic, and combined methotrexate treatments were grouped as the medical approach, and dilatation and evacuation, hysteroscopic resection, laparoscopic and laparotomic approaches were grouped as the surgical approach. Fifty-three patients were diagnosed as having cesarean scar pregnancy during the study period, 48 of whom were included in the final analysis. Read More

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Real-world experience of ocrelizumab initiation in a diverse multiple sclerosis population.

Mult Scler Relat Disord 2021 May 19;53:103021. Epub 2021 May 19.

UConn Health Comprehensive Multiple Sclerosis Center, Department of Neurology, University of Connecticut School of Medicine, Farmington, CT 06030, United States; Division of Multiple Sclerosis and Translational Neuroimmunology, Department of Neurology, University of Connecticut School of Medicine, Farmington, CT 06030, United States. Electronic address:

Background: Ocrelizumab (OCR) is a humanized monoclonal antibody directed against CD20 positive B-lymphocytes. It was approved for use in 2017 by the U.S. Read More

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Heterotopic Quadruplet Pregnancy. Literature Review and Case Report.

Medicina (Kaunas) 2021 May 12;57(5). Epub 2021 May 12.

Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Heterotopic pregnancy is the condition where both intrauterine and ectopic pregnancy are present. It rarely occurs after natural conception, but is more common with assisted reproductive techniques, when more than one embryo is transferred. Quadruplet heterotopic pregnancy is exceedingly rare. Read More

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Ectopic pregnancy: a single-center experience over ten years.

Reprod Biol Endocrinol 2021 Jun 1;19(1):79. Epub 2021 Jun 1.

Department of Obstetrics and Gynecology, Buergerhospital - Dr. Senckenbergische Stiftung, Nibelungenallee 37-41, D-60318, Frankfurt am Main, Hessen, Germany.

Purpose: The aim of this study was to investigate characteristics associated with ectopic pregnancy (EP) that could be utilized for predicting morbidity or mortality.

Methods: This was a retrospective analysis of pregnancy-related records from a tertiary center over a period of ten years. Data on age, gravidity, parity, EP risk, amenorrhea duration, abdominal pain presence and location, β-human chorionic gonadotropin (β-HCG) level, ultrasound findings, therapeutic intervention, exact EP implantation site and length of hospital stay (LOS) were obtained from the database. Read More

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Data mining for detecting signals of adverse drug reaction of doxycycline using the Korea Adverse Event Reporting System database.

J Dermatolog Treat 2021 May 31:1-21. Epub 2021 May 31.

Department of Dermatology, Soonchunhyang University Hospital, Seoul, Korea.

Doxycycline is one of the most prescribed antibiotics by dermatologists. However, the concern regarding adverse events of doxycyline has been rising. To detect the adverse events of doxycycline using the Korea Adverse Events Reporting System (KAERS) database from January 2014 to December 2018 through a data mining method. Read More

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Anemia That Presented with Desaturation: A Focus on Core Concepts.

Case Rep Pediatr 2021 17;2021:5583840. Epub 2021 May 17.

Bai Jerbai Wadia Hospital for Children, Parel, Mumbai, India.

. Methemoglobinemia is a potentially life-threatening condition which presents with cyanosis and characteristic "chocolate-coloured blood." Although a co-oximetry would give a prompt diagnosis, there have been multiple reports of misdiagnosing this treatable condition-from being diagnosed as sepsis to asthma and even being operated for "ruptured ectopic pregnancy. Read More

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Case Report of Spontaneous Bilateral Ovarian Pregnancy in a Nulliparous Lady.

Case Rep Obstet Gynecol 2021 14;2021:6670763. Epub 2021 May 14.

Department of Obstetrics and Gynaecology, King Hamad University Hospital, Al Sayh, Bahrain.

Nontubal ectopic pregnancies, especially ovarian ones, are rare. Here, we report a case of spontaneous bilateral ovarian pregnancy in a 23-year-old nulliparous lady who presented with a three-day history of abdominal pain localized to the right iliac fossa. Laboratory investigations and pelvic US and transvaginal US findings were suggestive of a right ovarian ectopic pregnancy and left ovarian cyst. Read More

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Successful management of cervical ectopic pregnancy with embryo reduction: report of three cases.

J Surg Case Rep 2021 May 27;2021(5):rjab216. Epub 2021 May 27.

Departamento de Toxicología, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (CINVESTAV-IPN), México City, México.

If methotrexate (MTX) fails to resolve cervical ectopic pregnancies (CEP), the remaining surgical options result in the potential loss of the patient's fertility. Therefore, we examined if the embryo reduction technique can resolve the CEP without any complications while conserving the patient's fertility. We report three cases in which CEP didn't respond to MTX but was successfully solved by embryo reduction. Read More

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[Original two steps management of an ectopic pregnancy on rudimentary horn in a patient with an unicornuate uterus: a unique case report with a literature review].

Gynecol Obstet Fertil Senol 2021 May 26. Epub 2021 May 26.

Service de Gynécologie Obstétrique et Médecine de la Reproduction. Centre Hospitalier Intercommunal de Créteil, 40 avenue de Verdun, 94000 Créteil, France; Université de Médecine Paris Est Créteil (UPEC), Paris XII, France.

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Ectopic deciduosis in a paratubal cyst: A report of the first case.

Int J Gynaecol Obstet 2021 May 27. Epub 2021 May 27.

Department of Woman and Child Health and Public Health, Section of Pathology, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

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Study of Risk factors and treatment modalities of ectopic pregnancy.

J Family Med Prim Care 2021 Feb 27;10(2):724-729. Epub 2021 Feb 27.

Department of Obstetrics and Gynecology, M.R. Medical College and BTGH, Kalaburagi, Karnataka, India.

Introduction: In the past two decades globally, the incidence of ectopic pregnancy has been increasing exponentially. One of the major triggering factors being the introduction of medical assisted procreation techniques. The present study emphasis more on clinical presentations, risk factors, associated maternal morbidity and mortality with respect to ectopic pregnancy. Read More

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February 2021

The Effect of Post warming Culture Period Between Thawing and Transfer of Cryopreserved Embryos on Reproductive Outcomes After In Vitro Fertilization (IVF): A Systematic Review and Meta-analysis.

J Reprod Infertil 2021 Apr-Jun;22(2):77-84

Plataforma INVEST Medicina UANL-KER Unit Mayo Clinic (KER Unit México), Universidad Autonoma de Nuevo Leon, Monterrey, Mexico.

Background: The purpose of this study was to evaluate the effect of post warming culture period between thawing and transfer of cryopreserved embryos on reproductive outcomes after in vitro fertilization (IVF).

Methods: An extensive literature search was performed using PubMed, EmBase, and the Cochrane library from January 2000 to August 2019. A systematic review and meta-analysis of clinical trials was performed in this manuscript. Read More

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Successful Conservative Treatment of Cesarean Scar Ectopic Pregnancy with Local Injections of Absolute Ethanol.

Gynecol Minim Invasive Ther 2021 Apr-Jun;10(2):132-134. Epub 2021 Apr 30.

Department of Obstetrics and Gynecology, International University of Health and Welfare Hospital, Nasushiobara City, Tochigi, Japan.

Cesarean scar ectopic pregnancy (CSEP) is becoming more common worldwide. Here, we report a case of cesarean scar pregnancy successfully treated using transvaginal ethanol injection. A 31-year-old female (gravida 3, para 2) with two prior cesarean sections presented at 9 weeks and 3 days of pregnancy. Read More

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Analysis of Surgical Procedure of Four Cases of Ovarian Pregnancies Treated with Laparoscopic Surgery.

Gynecol Minim Invasive Ther 2021 Apr-Jun;10(2):117-120. Epub 2021 Apr 30.

Department of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.

Ovarian pregnancy is a rare disease, accounting for 0.5%-3% of ectopic pregnancies. Ovarian pregnancy risk factors and preoperative diagnosis have been extensively reported. Read More

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Value of Crossover Sign in Anticipating Under-8-week Cesarean Scar Pregnancy Treatment by Foley Insertion Combined with Suction Curettage in Vietnam.

Gynecol Minim Invasive Ther 2021 Apr-Jun;10(2):84-90. Epub 2021 Apr 30.

Department of Obstetrics and Gynecology, University of Medicine and Pharmacy at HCMC, Vietnam.

Objectives: An earlier study completed at TuDu Hospital presented the efficacy of Foley insertion combined with fetal suction curettage at a high rate of success in treatment of cesarean scar pregnancy (CSP) of < 8 weeks, but the efficacy of prognosticating factors for this approach has not been specifically addressed yet, especially crossover sign (COS) on ultrasound. We aimed to investigate the correlation between COS on ultrasound and the treatment results of CSP using Foley insertion combined with fetal suction.

Materials And Methods: A case-control study of CSPs ≤ 8 weeks treated at TuDu Hospital during September 2017-April 2019 included 63 failures in the case group and 98 successes in the control group. Read More

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Combined surgical and medical management of a broad ligament ectopic pregnancy: A case report.

Case Rep Womens Health 2021 Jul 19;31:e00316. Epub 2021 Apr 19.

Department of Obstetrics, Gynecology, & Reproductive Sciences, University of California San Francisco, USA.

Broad ligament ectopic pregnancies rare. Several case reports illustrate treatment with laparoscopy. A 31-year-old woman, gravida 2 para 1, presented at 6 weeks 6 days of gestation with vaginal bleeding. Read More

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A population-based analysis of the impact of the COVID-19 pandemic on common abdominal and gynecological emergency department visits.

CMAJ 2021 05;193(21):E753-E760

Division of General Surgery (Gomez, Nantais), St. Michael's Hospital, Unity Health Toronto; ICES Central (Gomez, Simpson, de Mestral, Wilton, Urbach, Austin, Baxter); Department of Obstetrics and Gynecology (Simpson), St. Michael's Hospital, Unity Health Toronto; Department of Surgery (Sue-Chue-Lam, de Mestral, Dossa, Urbach), Faculty of Medicine, University of Toronto, Toronto, Ont.; Melbourne School of Population and Global Health (Baxter), University of Melbourne, Melbourne, Australia.

Background: Reduced use of the emergency department during the COVID-19 pandemic may result in increased disease acuity when patients do seek health care services. We sought to evaluate emergency department visits for common abdominal and gynecologic conditions before and at the beginning of the pandemic to determine whether changes in emergency department attendance had serious consequences for patients.

Methods: We conducted a population-based analysis using administrative data to evaluate the weekly rate of emergency department visits pre-COVID-19 (Jan. Read More

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Recognizing and treating endometriosis.

JAAPA 2021 Jun;34(6):14-19

At the time this article was written, Tiffany Blamble was a student in the MPH/MMSc combined degree program at Mercer University in Atlanta, Ga. She now practices in orthopedic surgery at Piedmont Newton in Covington, Ga. Lisa Dickerson is medical director of the PA program at Mercer University. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Endometriosis, defined as endometrium-like tissue located outside the uterine cavity, is a chronic and frequently painful disease that affects about 10% of reproductive-aged women worldwide. The ectopic endometrial tissue, which is still hormonally responsive, generates a chronic inflammatory state resulting in an array of sometimes debilitating symptoms as well as subfertility. Despite its prevalence and significant effect on a woman's health and quality of life, receiving a diagnosis of endometriosis often takes years. Read More

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