1/75. Coexistance of tubal ectopic pregnancy and adenomatoid tumor.The first case is presented of coexistance of an ectopic pregnancy and an adenomatoid tumor in the same fallopian tube. The ectopic pregnancy was diagnosed clinically, but the tumor was only detected microscopically as a result of extensive sampling of the salpingectomy specimen.- - - - - - - - - - ranking = 1keywords = fallopian tube, tube (Clic here for more details about this article) |
2/75. Hydrosalpinx due to asymptomatic bilateral tubal pregnancies associated with metaplastic papillary tumor of the fallopian tube.The patient described in this report had bilateral hydrosalpinx due to pregnancies in both fallopian tubes, treated by laparoscopic resection. Histologically, both fallopian tubes revealed intratubal occlusion by degenerated, partially calcified chorionic tissue. An incidental finding was an intraluminal papillary epithelial tumor in one of the fallopian tubes. The clinical significance and complications of asymptomatic tubal ectopic pregnancy and the pathogenesis and biologic behavior of papillary epithelial tumors of the fallopian tube are briefly discussed.- - - - - - - - - - ranking = 8keywords = fallopian tube, tube (Clic here for more details about this article) |
3/75. Heterotopic pregnancy in a spontaneous cycle: do not forget about it!Heterotopic pregnancies are estimated to be less frequent than 1:30000 if no assisted reproduction technologies (art) are performed. After art this entity is more frequent and in the range of 1:100. In the case reported here an ectopic pregnancy was detected in the right fallopian tube at 7 1 weeks of gestation. It was misdiagnosed as an ectopic singleton, and treated by laparoscopic salpingectomy, because of a previous ectopic in the same tube. Rising hCG after laparoscopy during the subsequent days followed by ultrasound evaluation revealed a viable intrauterine pregnancy. The pregnancy continued uneventfully and a healthy child was delivered at term. The problems, which lead to the misdiagnosis are discussed. The problem of rare cases in medicine, and the problems of a 'modern' medicine are discussed.- - - - - - - - - - ranking = 1.006861988293keywords = fallopian tube, tube (Clic here for more details about this article) |
4/75. Intra- and extra-uterine pregnancies following repeated sterilization in a case of hiv seropositive patient.A 24-year-old woman, hiv seropositive, LMP ten weeks previously, para 2-0-0-2, presented with complaints of left sided pelvic pain. Her previous pregnancies were terminated by cesarean section with tubal sterilization (Pomeroy technique) in the first pregnancy and by cesarean section with repeated tubal sterilization (Pomeroy technique) in the second one. The pelvic examination revealed cervical motion tenderness and a tender sausage-like mass of about 3 x 4 cm in the left adnexa. Both previously ligated fallopian tubes and a hematosalpinx lying distal to the ligated site of the left tube were revealed in the exploratory laparotomy after a positive culdocentesis. Bilateral salpingectomy was performed. The histological examination confirmed the diagnosis of tubal pregnancy in the left tube and the status post tubal sterilization in the right one. The postoperative course was uneventful.- - - - - - - - - - ranking = 1.013723976586keywords = fallopian tube, tube (Clic here for more details about this article) |
5/75. Coexistence of a heterotopic pregnancy associated with a homolateral ovarian cyst in a patient submitted to elective abortion.The authors describe the case of a right tubal pregnancy of delayed diagnosis in a 31-year-old nullipara, who was submitted to voluntary termination during the 7th week of pregnancy and who presented a homolateral ovarian cyst. Two weeks later the patient presented pelvic pain and intraperitoneal fluid layer, while plasma beta-hCG was 1,262 IU/ml. The case history was complicated by recent termination surgery and presence of an ovarian cyst, but a plasma beta-hCG assay and transvaginal ultrasonography oriented the diagnosis towards a previously unrevealed heterotopic pregnancy. The fallopian tube and the ovarian cyst were removed by laparoscopy. The case points out to the fact that, though rare, heterotopic pregnancy must always be considered one of the possible complications of spontaneous pregnancy.- - - - - - - - - - ranking = 1keywords = fallopian tube, tube (Clic here for more details about this article) |
6/75. Old ectopic pregnancy remnants with morphological features of placental site nodule occurring in fallopian tube and broad ligament.Placental site nodule (PSN) is an asymptomatic benign proliferation of intermediate trophoblast from a previous gestation that failed to involute. It is most commonly found in the endometrium or endocervix; however, placental site nodule has recently been reported to occur at sites of ectopic gestation. This is the first case of PSN in the broad ligament in direct contact with the fallopian tube. The patient underwent surgery for an adenocarcinoma of the opposite tube. Microscopically and immunohistochemically, the lesion showed the characteristics of a proliferation of intermediate trophoblast.- - - - - - - - - - ranking = 4.013723976586keywords = fallopian tube, tube (Clic here for more details about this article) |
7/75. A remnant tubal pregnancy after cloacal malformation repair.OBJECTIVE: Report of a remnant tubal pregnancy after cloacal malformation repair. DESIGN: Case report. SETTING: A university hospital. PATIENT: A woman with cloacal malformation repair. INTERVENTION: Laparoscopic surgery. MAIN OUTCOME MEASURE: Remnant tubal pregnancy. RESULT: Laparoscopic right salpingectomy. CONCLUSION(S): In this patient, ectopic pregnancy was caused by contralateral sperm transmigration to the remnant right tube, which was not connected with the left uterus.- - - - - - - - - - ranking = 0.0068619882929825keywords = tube (Clic here for more details about this article) |
8/75. Laparoscopic ligation and resection of two ipsilateral interstitial pregnancies in the same patient.A 31-year-old woman had bilateral interstitial-isthmic tubal anastomoses. After one spontaneous abortion and one term vaginal delivery, she had a right unruptured interstitial pregnancy that was laparoscopically ligated with endoloops and resected. Ten months later she experienced a second unruptured interstitial pregnancy on the same side. This was also laparoscopically suture-ligated and resected uneventfully. The contralateral patent tube was ligated at the same time.- - - - - - - - - - ranking = 0.0068619882929825keywords = tube (Clic here for more details about this article) |
9/75. A unilateral twin extrauterine pregnancy occurring in a solitary fallopian tube: therapeutic choices.A unilateral twin tubal pregnancy occurring in a solitary fallopian tube is presented. The gynecological history was notable for a previous extrauterine pregnancy in the contralateral fallopian tube and reconstructive surgery to the ipsilateral one. Radical total salpingectomy was performed. The rationale for this management is discussed and different therapeutic alternatives presented.- - - - - - - - - - ranking = 6keywords = fallopian tube, tube (Clic here for more details about this article) |
10/75. Hemorrhagic shock from a ruptured ectopic pregnancy in a patient with a negative urine pregnancy test result.Ectopic pregnancy has been increasing in frequency over the past 2 decades. The sudden rupture of a fallopian tube caused by ectopic pregnancy can lead to hemorrhagic shock and death if not diagnosed and treated in a timely fashion. The emergency physician is often the health professional that is called on to make the diagnosis and coordinate timely and effective intervention. The first step in the diagnosis of ectopic pregnancy is demonstration of pregnancy by means of a rapidly performed and sensitive qualitative urine test for the beta-subunit of human chorionic gonadotropin (beta-hCG). A negative urine pregnancy test result will generally be used to exclude ectopic pregnancy from further consideration. The following is a report of a patient presenting to an emergency department with hypovolemic shock in conjunction with 2 negative urine beta-hCG analysis results and a quantitative serum beta-hCG level of 7 mIU/mL, a value less than the lower limit of detection for the highly sensitive qualitative urine and serum tests. This case report demonstrates the importance of further consideration of the diagnosis of ectopic pregnancy in the setting of a negative urine pregnancy test result.- - - - - - - - - - ranking = 1keywords = fallopian tube, tube (Clic here for more details about this article) |
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