4,186 results match your criteria tubal ectopic


Live birth by cesarean section after rupture of uterine cornua in simultaneous corneal and intrauterine pregnancies.

J Obstet Gynaecol Res 2021 May 9. Epub 2021 May 9.

Department of Obstetrics and Gynecology, The Japanese Red Cross Maebashi Hospital, Maebashi, Japan.

A patient became pregnant by in vitro fertilization and embryo transfer (IVF-ET). She had a history of laparoscopic bilateral salpingectomy and enucleation of a left ovarian tumor due to bilateral hydrosalpinx and left endometriotic cyst in primary infertility. She noticed abdominal pain and visited the nearby general hospital by ambulance (gestational age 6 weeks and 1 day). Read More

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Use of the Purse-String Suture to Conservatively Manage a Cornual Ectopic Pregnancy.

Cureus 2021 Apr 1;13(4):e14249. Epub 2021 Apr 1.

Obstetrics and Gynecology, Bethesda Hospital East, Boynton Beach, USA.

We report the successful management of a 31-year-old female, treated by cornual wedge resection. The patient suffered from vaginal spotting and lower abdominal pain. Transvaginal ultrasonography revealed a 4-5 cm right cornual pregnancy and beta-human chorionic gonadotropin was measured to be 614. Read More

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The Predictive Value of Decisive and Soft Ultrasound Criteria for Ectopic Pregnancy Identification in 321 Preoperative Cases.

Ultraschall Med 2021 May 6. Epub 2021 May 6.

Department of Gynecology, University Hospital Zürich, Switzerland.

Purpose:  To define the predictive value of morphological types (MTs) and further criteria in diagnosing ectopic pregnancy (ECP) by transvaginal sonography (TVS) prior to operative confirmation and treatment.

Materials And Methods:  Retrospective cohort analysis of 321 consecutive patients with suspected ECP who were advised to undergo operation.

Results:  ECP was investigated by TVS in all 321 patients. Read More

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Tubal stump pregnancy after salpingectomy-Does the time interval from surgical intervention to conception matter?

J Obstet Gynaecol Res 2021 May 4. Epub 2021 May 4.

Department of Obstetrics and Gynecology, The Yitzhak Shamir Medical Center (formerly Assaf Harofeh Medical Center), Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Aim: Ectopic pregnancy implantation on the tubal stump after salpingectomy is a rare location for extrauterine pregnancy, whose pathogenesis is still unknown. The purpose of this study was to examine whether the time interval elapsed from salpingectomy may predispose the embryo to implantation on the tubal stump in the next pregnancy subsequent to tube removal.

Methods: Nine women operated for stump pregnancy (study group) between 2008 and 2019 were retrospectively identified. Read More

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A life-threatening condition - ruptured ectopic pregnancy with negative urine pregnancy test: A case report.

Malays Fam Physician 2021 Mar 1;16(1):121-123. Epub 2021 Feb 1.

MD (UPM), MMed Family Medicine (UPM), Department of Family Medicine, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.

Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregnancy test but subsequently presented again with evidence of intra-peritoneal hemorrhage. A negative urine pregnancy test is often used to rule out pregnancy, but it is not 100% sensitive. Read More

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Persistent increase of β-hCG level after salpingectomy in tubal pregnancy: Good or bad news?

Clin Case Rep 2021 Apr 11;9(4):2369-2372. Epub 2021 Mar 11.

Department of Obstetrics and Gynecology LMU Munich Munich Germany.

Heterotopic pregnancy is a rare event in natural conception (1:30000). We describe a case of a 36-year-old nulliparous. She presented to our department in the 4 + 6 gestational week with two simultaneous pregnancies intrauterine and extrauterine. Read More

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Placenta accreta after postpartum tubal sterilisation and Novasure endometrial ablation.

Clin Case Rep 2021 Apr 27;9(4):2125-2128. Epub 2021 Feb 27.

Watford General Hospital Watford UK.

Although rare, pregnancy can still occur after both tubal sterilization and endometrial ablation. The resulting pregnancy is often complicated by ectopic pregnancy, miscarriage, and adherent placenta. Endometrial ablation is not a contraceptive. Read More

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Development and evaluation of a Point-of-Care Test (POCT) in a low resource setting with high rates of urogenital infections in Fiji.

J Clin Microbiol 2021 Apr 28. Epub 2021 Apr 28.

Lucira Health, Emeryville, CA, USA

Rapid and precise detection of -the leading global cause of sexually transmitted infections (STI)-at the point-of-care (POC) is required for treatment decisions to prevent transmission and sequelae including pelvic inflammatory disease, ectopic pregnancy, tubal-factor infertility and preterm birth. We developed a rapid POC test (POCT), termed LH-POCT, which uses Loop-mediated AMPlification (LAMP) of nucleic acids, and performed a head-to-head comparison with the Cepheid Xpert® CT/NG assay using clinician-collected de-identified paired vaginal samples from a parent study that consecutively enrolled symptomatic and asymptomatic females over age 18 years from the Ministry of Health and Medical Services Health Centers in Fiji. Samples were processed by the Xpert® CT/NG assay and LH-POCT, blinded to the comparator. Read More

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Methotrexate injection for interstitial pregnancy: Hysteroscopic conservative mini-invasive approach.

Facts Views Vis Obgyn 2021 Mar 31;13(1):73-76. Epub 2021 Mar 31.

Division of Gynaecology and Human Reproduction Physiopathology Unit, DIMEC, IRCCS Azienda Ospedaliero- Universitaria di Bologna, Italy.

Background: Interstitial localisation of ectopic pregnancy is associated with high rates of maternal morbidity and mortality. Considering the rarity of interstitial pregnancy, the optimal treatment regimen remains unclear. We propose the management of interstitial pregnancy with local methotrexate injection using a combined hysteroscopic and ultrasonographic approach. Read More

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Impact of location on placentation in live tubal and cesarean scar ectopic pregnancies.

Placenta 2021 Apr 4;108:109-113. Epub 2021 Apr 4.

EGA Institute for Women's Health, Faculty of Population Health Sciences, University College London (UCL), London, WC1E 6HX, UK.

Introduction: The objective of this study was to evaluate the impact of implantation outside the normal intra-uterine endometrium on development of the gestational sac.

Methods: We reviewed and compared the ultrasound measurements and vascularity score around the gestational sac in 69 women diagnosed with a live tubal ectopic pregnancy (TEP) and 54 with a cesarean scar ectopic pregnancy (CSP) at 6-11 weeks of gestation who were certain of their last menstrual period.

Results: The rate of a fetus with a cardiac activity in the study population was significantly (P < 0. Read More

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Live birth after laparoscopic management of a ruptured myomectomy site pregnancy and unruptured tubal gestation in a double ectopic heterotopic gestation.

Minerva Obstet Gynecol 2021 Apr;73(2):268-271

Department of Pathology, Sarvodaya Hospital, Faridabad, India.

Myomectomy scar pregnancy is a rare intramural pregnancy in which gestational sac is implanted in the myometrium, in the previous myomectomy scar separate from endometrial cavity and fallopian tubes. Heterotopic pregnancy is presence of simultaneous gestation at two or more implantation sites. Our patient presented at 7 weeks, in-vitro fertilization (IVF) conception with previous four IVF failures and myomectomy 3 months prior. Read More

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Corpus luteum in ectopic ovarian tissue miming tubal pregnancy.

Ginekol Pol 2021 Apr 12. Epub 2021 Apr 12.

University of Medicine and Pharmacology Gr T Popa, Iași, Romania.

We report an extraordinarily rare case of a pregnant patient with history of multiple ovarian cyst surgery. The corpus luteum developed on an ectopic ovarian tissue, miming an tubal pregnancy. One week later after the diagnostic laparoscopy an intrauterine pregnancy was visualised. Read More

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Levonorgestrel intrauterine system embedded within tubal ectopic pregnancy: a case report.

J Med Case Rep 2021 Mar 9;15(1):107. Epub 2021 Mar 9.

Department of Obstetrics and Gynecology, Aga Khan University Hospital Nairobi, P.O. Box 30270-00100, Nairobi, Kenya.

Background: The presence of the levonorgestrel-releasing intrauterine system embedded within an ectopic pregnancy is a rare occurrence. Tubal migration of an intrauterine device is not well understood and has not been extensively studied in literature.

Case Presentation: A 34-year-old African woman, para 1, gravida 2, presented with symptoms of ruptured ectopic pregnancy. Read More

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To Evaluate and Explain the Occurrence of Recurrent Ectopic Pregnancy after Ipsilateral Salpingectomy, Using the Ultrasound.

J Med Ultrasound 2020 Oct-Dec;28(4):264-266. Epub 2020 May 18.

Department of Radiology, Faculty of Medicine, Fayoum University, Faiyum, Egypt.

The current case report evaluated a female patient with a history of right salpingectomy subsequent to right tubal ectopic pregnancy that was presented with amenorrhea followed by vaginal bleeding and lower abdominal severe pain. The transvaginal ultrasound examination revealed the presence of ipsilateral right interstitial ectopic pregnancy. The patient was subjected to cornual wedge resection and uterine repair. Read More

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Suction Curettage and Foley Balloon as a First-Line Treatment Option for Caesarean Scar Pregnancy and Reproductive Outcomes.

Int J Womens Health 2021 23;13:239-245. Epub 2021 Feb 23.

Obstetrics and Gynecology Department, Fırat University Medicine Faculty Hospital, Elazığ, Turkey.

Background: Caesarean scar pregnancy (CSP) is associated with various serious pregnancy complications. This study presents the outcomes of patients treated with suction curettage and Foley balloon as the first-line treatment for CSP as well as their future outcomes in terms of successful pregnancy.

Methods: Of the 44 patients diagnosed with CSP between January 2015 and April 2019, 42 who provided consent for the termination of pregnancy and who simultaneously underwent the transabdominal ultrasound-guided suction curettage + Foley balloon treatment were included in the study. Read More

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February 2021

Retroperitoneal ectopic pregnancy: A literature review of reported cases.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 18;259:113-118. Epub 2021 Feb 18.

Department of Gynecology, Guangdong Second Provincial General Hospital, Guangzhou, China.

To provide reference for the diagnosis and treatment of retroperitoneal ectopic pregnancy (REP), we conducted a review on all of the reported cases in English by summarizing their clinical manifestation, diagnosis, management and prognosis. A total of 25 literatures including 26 REP cases were collected from PubMed database. 40 % (10/25) of the patients had a history of tubal pregnancy, 65. Read More

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Managing Ruptured Splenic Ectopic Pregnancy Without Splenectomy: Case Report and Literature Review.

Reprod Sci 2021 Feb 26. Epub 2021 Feb 26.

Pathology, St Bernard's Hospital, Gibraltar, UK.

Splenic ectopic pregnancy is extremely rare but carries a high risk of uncontrollable life-threatening bleeding. Our aim is to try to diagnose those cases earlier and to include splenic preservation as good alternative for selected cases. Extensive review of the literature has been performed. Read More

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February 2021

Increase rate of ruptured tubal ectopic pregnancy during the COVID-19 pandemic.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 29;259:95-99. Epub 2021 Jan 29.

Department of Obstetrics and Gynecology, The Yitzhak Shamir Medical Center (Formerly Assaf Harofeh Medical Center), Zerifin 70300, Israel; Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address:

Objective: During the 2020 COVID-19 pandemic there was a decrease in emergency room arrivals. There is limited evidence about the effect of this change in behavior on women's health. We aimed to evaluate the impact of the COVID-19 pandemic on the diagnosis, treatment and complications of women presenting with a tubal Ectopic Pregnancy (EP). Read More

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Control of oviductal fluid flow by the G-protein coupled receptor Adgrd1 is essential for murine embryo transit.

Nat Commun 2021 02 23;12(1):1251. Epub 2021 Feb 23.

Cell Surface Signalling Laboratory, Wellcome Sanger Institute, Cambridge, UK.

Dysfunction of embryo transport causes ectopic pregnancy which affects approximately 2% of conceptions in the US and Europe, and is the most common cause of pregnancy-related death in the first trimester. Embryo transit involves a valve-like tubal-locking phenomenon that temporarily arrests oocytes at the ampullary-isthmic junction (AIJ) where fertilisation occurs, but the mechanisms involved are unknown. Here we show that female mice lacking the orphan adhesion G-protein coupled receptor Adgrd1 are sterile because they do not relieve the AIJ restraining mechanism, inappropriately retaining embryos within the oviduct. Read More

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February 2021

Incidental Finding of Unilateral Ovarian and Fallopian Tube Agenesis During Cesarean Delivery in Patient With Recurrent Pregnancy Loss.

Cureus 2021 Jan 18;13(1):e12769. Epub 2021 Jan 18.

Obstetrics and Gynecology, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

Congenital unilateral agenesis of the ovary and fallopian tube is a rare condition that has been previously described in the literature. While this condition is benign, studies have proposed it could be associated with infertility. The purpose of this report is first to highlight a rare incidental finding of unilateral ovarian and fallopian tube agenesis. Read More

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January 2021

Ectopic pregnancy until proven otherwise … even with a negative serum hCG test: A case report.

Case Rep Womens Health 2021 Apr 27;30:e00288. Epub 2021 Jan 27.

Kelly Morales OB/GYN, San Antonio, TX, United States of America.

Ectopic pregnancy is commonly considered in the differential diagnosis for first-trimester vaginal bleeding and acute abdominal pain in women of reproductive age. Negative human chorionic gonadotropin (hCG) tests have been considered the gold standard to rule out this life-threatening diagnosis and appropriately rising hCG levels are thought to exclude it as well. In the unique case reported here, pathology confirmed ectopic pregnancy is identified in the setting of a negative serum hCG test. Read More

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A live tubal twin pregnancy.

Arch Gynecol Obstet 2021 May 17;303(5):1371-1372. Epub 2021 Feb 17.

Center of Reproductive Medicine, Hangzhou Women's Hospital, 369 Kunpeng Road, Hangzhou, 310008, China.

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Expression of matrix metalloproteinases and their inhibitors at the implantation site in ampullary ectopic pregnancies.

J Gynecol Obstet Hum Reprod 2021 May 13;50(5):102096. Epub 2021 Feb 13.

Disciplina de Obstetricia, Departamento de Obstetricia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil. Electronic address:

Objective: This study investigated the qualitative and semi-quantitative expression of metalloproteinases (MMP) and their tissue inhibitors (TIMP) in trophoblastic tissue during ampullary ectopic pregnancies and correlated that expression with the degree of tubal invasion.

Study Design: It is a prospective study that included 34 patients diagnosed with ampullary tubal pregnancy who underwent salpingectomy. A histological evaluation of the depth of trophoblastic invasion in the tubes obtained was performed. Read More

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Determinants of ectopic pregnancy among pregnant women attending referral hospitals in southwestern part of Oromia regional state, Southwest Ethiopia: a multi-center case control study.

BMC Pregnancy Childbirth 2021 Feb 12;21(1):130. Epub 2021 Feb 12.

Department of gynecology and obstetrics, Wellega University, Wellega, Ethiopia.

Background: Ectopic pregnancy is an abnormal condition in which implantation of the blastocyst occurs outside the endometrium of the uterus. It is gynecological important, particularly in the developing world, because of associated with enormous rate of high morbidity, during the first trimester of pregnancy. A better understanding of its risk factors can help to prevent its prevalence. Read More

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February 2021

Outcomes after successful fallopian tube recanalization: A single institution experience: Observational Retrospective study.

Clin Imaging 2021 Jan 14;76:70-73. Epub 2021 Jan 14.

Mallinckrodt Institute of Radiology, Vascular Interventional Radiology Section, Washington University in Saint Louis School of Medicine, Saint Louis, MO, USA. Electronic address:

Purpose: To determine outcomes after successful fallopian tube recanalization (FTR) in women who suffer infertility with documented tubal occlusion on hysterosalpingogram.

Methods: A retrospective review of consecutive successful FTR procedures from January 2010 to December 2016 was performed. 53 women who had hysterosalpingogram confirmed unilateral or bilateral tubal occlusion from a single tertiary academic medical center and successful FTR were eligible for inclusion. Read More

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January 2021

A systematic review and meta-analysis of laparotomy compared with laparoscopic management of interstitial pregnancy.

Facts Views Vis Obgyn 2021 Jan 8;12(4):299-308. Epub 2021 Jan 8.

Midwestern University College of Osteopathic Medicine, Glendale, Arizona, USA.

Background: Interstitial pregnancy is a rare but life-threatening condition accounting for 1-4% of all types of tubal ectopic pregnancies. It can be managed by open and minimally invasive surgical techniques. Our goal was to compare laparoscopic and open surgery for managing interstitial pregnancy. Read More

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January 2021

A novel predict factor that increases the success rate of methotrexate treatment in fallopian tube pregnancy.

Ann Transl Med 2021 Jan;9(2):146

International Peace Maternity and Child Health Hospital of China Welfare Institution (IPMCH), School of Medicine, Shanghai Jiao Tong University, Shanghai Key Laboratory of Embryo Original Diseases, Shanghai Municipal Key Clinical Specialty, Shanghai, China.

Background: For stable fallopian tube pregnancy (FTP), methotrexate (MTX) therapy is reported to be as effective as laparoscopy. However, some cases would need further treatment, e.g. Read More

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January 2021

Effectiveness of laparoscopic tubal anastomosis in tubal occlusion patients after laparoscopic salpingostomy for tubal pregnancy.

Int J Gynaecol Obstet 2021 Feb 4. Epub 2021 Feb 4.

Department of Reproductive Endocrinology, West China Second University Hospital, Sichuan University, Chengdu, China.

Objective: To evaluate the effectiveness of laparoscopic tubal anastomosis for tubal occlusions associated with infertility in patients with previous laparoscopic salpingostomy for ectopic pregnancy.

Methods: This study is a retrospective analysis of the pregnancy outcomes of 173 infertile patients who underwent hysteroscopy and laparoscopic tubal anastomosis treatment between January 2013 and August 2018 in the Department of Reproductive Endocrinology in West China Second University Hospital of Sichuan University. All patients had a history of laparoscopic salpingostomy for tubal pregnancy. Read More

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February 2021

Ectopic pregnancy management by V-NOTES technique.

J Gynecol Obstet Hum Reprod 2021 May 26;50(5):102073. Epub 2021 Jan 26.

Department of Gynaecology Surgery, Femme Mère Enfant Hospital, 59 Boulevard Pinel, 69677 Lyon, Bron, France; Claude Bernard Lyon 1 University, Avenue Rockfeller, 69008 Lyon, France.

Ectopic pregnancy is a frequent and life-threatening risk of childbearing. Its management represents a mainstay of emergency gynecological surgery, and laparoscopy is the surgical gold standard technique. The technique of transvaginal natural orifice transluminal endoscopic surgery (V-NOTES) for the management of ectopic pregnancy is presented herein. Read More

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Cannabinoid receptor type-1 and its correlation with CB1 gene polymorphism-1359G/A in ectopic pregnancy compared to the control group.

J Obstet Gynaecol Res 2021 Apr 28;47(4):1256-1264. Epub 2021 Jan 28.

Department of Obstetrics and Gynecology, School of Medicine, Zahedan University of Medical Sciences, Zahedan, Iran.

Aim: Ectopic pregnancy (EP) is one of the most important causes of maternal mortality. This study aimed to evaluate the immunohistochemical (IHC) expression of the cannabinoid receptor type-1 (CB1) and its association with CB1-1359G/A gene polymorphism (rs1049353) in the fallopian tubes in EP compared to controls.

Methods: In this case-control study, 100 women with EP (cases) and 100 women that underwent abdominal surgery due to the hysterectomy or uterine tubal ligation (healthy controls) were included. Read More

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