scholarly journals Two cases of ectopic pregnancy, successfully operated in extremis with gastrointestinal surgery

2020 ◽  
Vol 8 (3) ◽  
pp. 250-252
Author(s):  
N. Rachinsky
Keyword(s):  
Ectopic Pregnancy ◽  
Gastrointestinal Surgery ◽  
Deep Breathing ◽  
Acute Anemia ◽  
First Case ◽  
Cold Extremities

The first case concerns a 24-year-old patient who was admitted to the Jewish Odessa hospital on June 8, 1893, in a state of severe acute anemia: cold extremities, cyanosis of the lips, intense deep breathing, deathly pallor, cold sweat on the forehead, barely noticeable, threadlike pulse, but at times completely disappearing, semi-unconscious, dilated pupils.

scholarly journals Role of blood plates in cases of death in blood transfusions. Schäfer, (Deut. med. Woch., 1921, No. 52), Zeller (Deut. med. Woch. 1921, No. 52)

2021 ◽  
Vol 19 (1) ◽  
pp. 99-100
Keyword(s):  
Ectopic Pregnancy ◽  
Abdominal Cavity ◽  
Circulatory System ◽  
Blood Transfusions ◽  
Acute Anemia

As we have already informed our readers, it is accepted by many of modern German gynecologists as a rule to infuse blood poured into the abdominal cavity, at the termination of ectopic pregnancy, into the circulatory system, adding to it, to avoid coagulation, a solution of natrii citrici. In the evaluation of this technique, however, not all authors are in agreement: while some consider it, in severe acute anemia, directly lifesaving, others point out its danger.

Concurrent tubal ectopic pregnancy with cesarean scar ectopic pregnancy: World's first case report

2019 ◽  
Vol 11 (3) ◽  
pp. 82-86
Author(s):  
Ammbalal Gurram ◽  
◽  
Garcha . ◽  
Shital Takpire ◽  
Vivek Kulkarni ◽  
...  
Keyword(s):  
Case Report ◽  
Ectopic Pregnancy ◽  
Tubal Ectopic Pregnancy ◽  
Cesarean Scar ◽  
First Case

A positive urine pregnancy test (UPT) with adnexal mass; ectopic pregnancy is not the ultimate diagnosis

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Mohd Faizal Ahmad ◽  
Muhammad Azrai Abu ◽  
Kah Teik Chew ◽  
Kun Leng Sheng ◽  
Mohd Asyraf Zakaria
Keyword(s):  
Ectopic Pregnancy ◽  
Adnexal Mass ◽  
Case Reports ◽  
First Trimester ◽  
Pregnancy Test ◽  
First Case ◽  
Positive Urine ◽  
Disease Free ◽  
Urine Pregnancy Test

Abstract A positive urine pregnancy test (UPT) with adnexal mass in ectopic pregnancy is not the ultimate diagnosis. The incidence of ectopic pregnancy is about 27 per 1000 pregnancies [1]. On average, about 6–16% will present to an emergency department with first-trimester bleeding and abdominal pain [2]. On presenting with these symptoms with the simultaneous presence of an adnexal mass and an empty uterus, a UPT is of paramount importance to determine whether the symptoms are pregnancy related or not. When the UPT is positive, an ectopic pregnancy is not the only diagnosis as the rare entity of non-gestational ovarian choriocarcinoma (NGOC) should be considered. Here we present two case reports of NGOC, which were initially diagnosed as ectopic pregnancy. The first case is a 16-year-old girl, with vaginal bleeding and an adnexal mass due to an ovarian choriocarcinoma, She underwent unilateral oophorectomy and received multiple courses of chemotherapy. She is disease free without evidence of recurrence or metastasis after 12 months of follow-up. The second patient is also 16 years old and presented with an acute abdomen. She was diagnosed as a ruptured luteal cyst and underwent partial oophorectomy. When the pathologist diagnosed a choriocarcinoma she received multiple courses of chemotherapy, but thereafter an advanced disease was diagnosed with evidence of distant metastasis.

scholarly journals Abdominal Pregnancy in the Small Intestine Presenting as Acute Massive Lower Gastrointestinal Hemorrhage

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Apiradee Pichaichanlert ◽  
Vor Luvira ◽  
Nakhon Tipsunthonsak
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Ectopic Pregnancy ◽  
Gastrointestinal Hemorrhage ◽  
Abdominal Cavity ◽  
Reproductive Organs ◽  
Abdominal Pregnancy ◽  
Lower Gastrointestinal Hemorrhage ◽  
First Case ◽  
Female Reproductive Organs

An abdominal pregnancy is an ectopic pregnancy in which the implantation site occurs in the abdominal cavity outside the female reproductive organs. There have been four reported cases that ruptured into the gastrointestinal tract and into the large intestine. We present the first case of an abdominal pregnancy rupturing into the small intestine with a good outcome.

scholarly journals Two Cases of Ectopic Pregnancy Mimicking Gestational Trophoblastic Disease

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Haruka Suzuki ◽  
Yoshitsugu Chigusa ◽  
Junzo Hamanishi ◽  
Masaki Mandai ◽  
Eiji Kondoh
Keyword(s):  
Ectopic Pregnancy ◽  
Myometrial Invasion ◽  
Gestational Trophoblastic Disease ◽  
Typical Feature ◽  
Cesarean Scar Pregnancy ◽  
First Case ◽  
Trophoblastic Diseases ◽  
Gestational Trophoblastic Diseases ◽  
Gestational Sac ◽  
Ectopic Pregnancies

A well-known typical feature of ectopic pregnancy is an evident gestational sac structure outside of the uterus. However, some cases show atypical appearance that is described as a heterogeneous hypervascular mass. We report two cases of ectopic pregnancy that presented heterogeneous findings mimicking gestational trophoblastic diseases but were correctly diagnosed as ectopic pregnancies on MRI. The first case was an interstitial pregnancy in which the patient underwent surgical treatment. The second case was a cesarean scar pregnancy that was treated conservatively but showed spurious enlargement of pregnancy-related lesions after the treatment. Both cases lacked myometrial invasion on MRI, and the patients were diagnosed with ectopic pregnancies. Invasive findings on MRI may discriminate ectopic pregnancy from trophoblastic tumors and avoid unnecessary hysterectomy.

scholarly journals H D. Ingraham. A brief report of three cases of ectopic pregnancy (New-York Medical Journal, 1892, December 31). A brief report on 3 cases of extrauterine pregnancy

2020 ◽  
Vol 7 (5) ◽  
pp. 420
Author(s):  
V. Kaplyanskiy
Keyword(s):  
New York ◽  
Medical Journal ◽  
Ectopic Pregnancy ◽  
Surgical Intervention ◽  
Abdominal Cavity ◽  
Broad Ligament ◽  
Extrauterine Pregnancy ◽  
The Third ◽  
First Case ◽  
History Of

In the first case, the patient deliberately concealed the history of her illness, deliberately gave inconsistent data and thereby made it extremely difficult to diagnose. When the rupture of the fetal beetle in the abdominal cavity was clear, the patient resisted any surgical intervention and died. In the second case, the rupture of the fetal baby also occurred in the abdominal cavity, blood poured out, accumulated in the Douglas space, and the evacuation of the blood cyst per vaginam ended in the patient's recovery. In the third, an accidental fetus ruptured in the broad ligament and the egg now died.

scholarly journals Postoperative small bowel obstruction secondary to single malformed staple following laparoscopic total abdominal colectomy

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Laura DiChiacchio ◽  
Natalie A O’Neill ◽  
Mark Kligman ◽  
Andrea C Bafford
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Staple Line ◽  
Gastrointestinal Surgery ◽  
Rectal Stump ◽  
Surgical Staplers ◽  
Total Abdominal Colectomy ◽  
First Case ◽  
Postoperative Small Bowel Obstruction

Abstract Surgical staplers are ubiquitous in gastrointestinal surgery, especially laparoscopy. Intraperitoneal staples are designed to be inert and are generally regarded as benign; however, complications from primarily malformed staples can rarely occur. Here, we present a case of early mechanical postoperative small bowel obstruction due to a surgical staple following laparoscopic total abdominal colectomy and end ileostomy creation performed for medically refractory ulcerative colitis. Management consisted of diagnostic laparoscopy and careful extraction of a malformed surgical staple tethering a loop of small bowel to the rectal stump. Eight similar cases following gastrointestinal surgery have been identified in the literature, all occurring in the first 2 weeks following laparoscopic appendectomy. To our knowledge, this is the first case described following laparoscopic total abdominal colectomy, with high-grade small bowel obstruction at the level of the rectal stump staple line.

scholarly journals Pre-operative diagnosis of ovarian ectopic pregnancy: a challenge to practicing clinician

2019 ◽  
Vol 8 (3) ◽  
pp. 1193
Author(s):  
Shalini Mahana Valecha ◽  
Dolly Bashani ◽  
Jaya Gedam ◽  
Pandeeswari .
Keyword(s):  
Ectopic Pregnancy ◽  
Histopathological Examination ◽  
Clinical Findings ◽  
Uneventful Recovery ◽  
Ultrasound Scan ◽  
First Case ◽  
Stromal Tissue ◽  
Ectopic Pregnancies ◽  
The Right ◽  
Medical Advances

The first case of primary ovarian ectopic pregnancy was reported by St. Maurice in 1689. Primary ovarian ectopic pregnancy is rare entity, with incidence of around 3% of all ectopic pregnancies. The aim of present case report is to study the role of different modalities like clinical findings, biochemistry, sonography, surgery and histopathology in diagnosis of primary ovarian ectopic pregnancy. Authors present a case of a 24 years old female with history of 2 months amenorrhoea, per vaginal spotting and mild intermittent abdominal pain in RIF. Examination was unremarkable and serum βHCG was 2007.5IU/ml. An ultrasound scan showed an ectopic mass in the right adnexa suggestive of a tubal ectopic pregnancy and she underwent surgical management at our institute.  At laparoscopy, both fallopian tubes were noted to be normal with an ectopic mass attached to the right ovary with a pedicle. With these unusual laparoscopic findings, possibilities of tubal miscarriage, ovarian pregnancy, or abdominal pregnancy were suspected. Ectopic mass was coagulated and cut through the pedicle with bipolar cautery and specimen was sent for HPE. Our patient made an uneventful recovery and no further medical management was indicated. The diagnosis of right ovarian ectopic pregnancy was finally confirmed by histopathological evidence of the presence of chorionic villi in a background of ovarian stromal tissue, in consideration with Spigelberg’s criteria. Present case highlights the importance of considering non-tubal ectopic pregnancies when making a diagnosis based on ultrasound scan. Pre-operative diagnosis of ovarian ectopic pregnancy still remains a challenge in spite of current medical advances. Despite the benefits and reliability of ultrasound scanning, there will still be situations where the definitive diagnosis can only be made at surgery. However, histopathological examination is confirmatory and always mandatory.

scholarly journals Disturbed Interstitial Pregnancy: A First Case of Successful Treatment Using a Mini-Laparoscopic Approach

Medicina ◽  
2019 ◽  
Vol 55 (5) ◽  
pp. 215 ◽  
Author(s):  
Latchesar Tantchev ◽  
Andrey Kotzev ◽  
Angel Yordanov
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Laparoscopic Approach ◽  
Massive Hemorrhage ◽  
Interstitial Pregnancy ◽  
First Case ◽  
Threatening Condition ◽  
Life Threatening ◽  
Interstitial Ectopic Pregnancy ◽  
Experienced Team

Interstitial ectopic pregnancy (EP) is a life-threatening condition due to the risk of massive hemorrhage in the event of its disturbance. We present the case of a 27-year-old patient who was admitted with massive hemoperitoneum, caused by the rupture of an interstitial pregnancy in the area of the fallopian tube stump, which had been removed after a previous ectopic pregnancy. The condition was overcome using a mini-laparoscopic approach (2.6 mm, 30° optics), with one 3 mm port for micro-laparoscopic instruments and one 10 mm port. Such an approach has not yet been reported in the available literature, among the casuistically reported cases of pregnancy in the tubal stump. We consider that the technique is safe, completely in the interest of the patient, applicable by an experienced team, and in agreement with modern trends regarding the minimization of operative access.

scholarly journals To diagnostics of ectopic pregnancy in the early stages

2020 ◽  
Vol 8 (3) ◽  
pp. 256-257
Author(s):  
N. Kakushkin
Keyword(s):  
Ectopic Pregnancy ◽  
Fallopian Tube ◽  
Gastrointestinal Surgery ◽  
Uterine Cavity ◽  
Lower Abdomen ◽  
Early Stages ◽  
Decidual Cells ◽  
Ovarian Wall

Case 1. Married, 26 years old. Gave birth once. Complaint - bleeding that began a week after urgent menstruation and continued for 26 days. Until this time, menstruation was correct. For five weeks, a growing tumor is seen in the left lower abdomen. Partly with a pipette, partly with a sharp spoon, part of the contents was removed from the uterine cavity, showing the presence of loheocytes and decidual cells. The suspicion of an ectopic pregnancy was confirmed by gastrointestinal surgery, and the entire sac (funnel, fallopian tube, omentum, ovarian wall) was removed. Recovery.

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