1.Multiple Faces of the Same Pathology
Ng KS ; Fazarina M ; Anizah A ; Shuhaila A ; Yulianty A ; Zainul Rashid MR
Journal of Surgical Academia 2016;6(2):50-54
Ectopic pregnancy is defined as an extrauterine pregnancy. We report three cases where the ectopic pregnancies were
implanted in different sites. The first case was a 28-year-old in her second pregnancy at 9 weeks gestation. She
presented with painless vaginal bleeding. Ultrasound showed unruptured cornual pregnancy with hCG level of
7456mIU/ml. A single dose of 75mg IM methorexate was given and she responded well with significant reduction of
hCG level. The second case, a 26-year-old gravida 5 para 2+2, with 2 previous ectopic pregnancies and bilateral
salpingectomy, conceived via in-vitro fertilization (IVF). She presented with acute abdomen and one episode of
syncope at 8 weeks 4 days gestation. Laparotomy showed ruptured ectopic pregnancy at the left tubal stump
requiring a left salpingectomy. The third case was a 26-year-old, gravida 5 para 2+2, with two previous vaginal
deliveries and two previous first trimester miscarriages. Her menses was irregular since she took injectable progestin.
She presented to the emergency department with sudden onset of lower abdomen pain. Urine pregnancy test was
positive. Ultrasound showed empty uterus, no adnexal mass but there was significant free fluid in the cul-de-sac.
During laparoscopy, a ruptured ovarian pregnancy was diagnosed and salpingo-oophorectomy performed. There was
no significant risk factor contributing to ectopic pregnancy identified in the first and third case. In the second case,
despite previous bilateral salpingectomy, the patient still had ectopic pregnancy in the left fallopian tube remnant.
Pregnancy, Ectopic
2.A successful management of an advanced secondary abdominal pregnancy with a live fetus: A case report
Katerine Mae Fernando ; Carmencita B. Tongco ; Sheryl Ann B. Dela Cruz
Philippine Journal of Obstetrics and Gynecology 2019;43(6):27-32
Advanced abdominal pregnancy is associated with catastrophic outcomes for both mother and fetus. Because it is rare, it is often misdiagnosed and the surgery, often unplanned, may end up with uncontrollable hemorrhage and injury to abdominal structures during placental removal. A case of a 21-year-old G1P0, 34 weeks gestation, who presented as a bleeding placenta previa but diagnosed intraoperatively as abdominal pregnancy with a live baby with congenital anomalies, with complete removal of the placenta and with good maternal outcome is presented. This report highlights the pitfalls in diagnosis and stresses the importance of team management, adherence to good surgical principles, and timely operative decisions to ensure a successful outcome when preoperative evaluation is not possible.
Pregnancy, Ectopic
3.Primary bilateral tubal pregnancy: A case report and review of literature
Maria Reichenber C. Arcilla ; Marietta S. Sapaula ; Marites A. Barrientos ; Ma. Asuncion A. Fernandez
Philippine Journal of Reproductive Endocrinology and Infertility 2017;14(2):40-54
Ectopic pregnancy is one of the leading causes of maternal morbidity and mortality worldwide,
as seen in 9 to 13% and up to 30% of maternal deaths in developed and developing countries,
respectively. Bilateral tubal pregnancy is an exceedingly rare condition with an even greater
risk of rupture and hemorrhage than that of the unilateral type. This is a case of a 32 yearold G4P3 (4004) who presented with amenorrhea of 5 weeks, vaginal bleeding, and abdominal
pain. The triad of symptoms, elevated serum β-HCG levels, along with a transvaginal
ultrasound finding of a right adnexal mass led to the impression of a ruptured ectopic
pregnancy, probably tubal. Patient underwent laparoscopy and intraoperative findings
revealed bilateral tubal pregnancy for which bilateral salpingectomy was done. Oftentimes, as
in this case, bilateral tubal pregnancy is diagnosed intraoperatively. However, it is possible,
as seen in a review of cases, that a combination of history, symptoms, and clinical findings may
point to a probable diagnosis which is imperative in treatment planning. Bilateral tubal
pregnancy is rare, but due to a rise in pelvic inflammatory disease, its consequences, and the
advent of assisted reproductive techniques, the risk for this condition increases with important
clinical implications.
Pregnancy, Ectopic
4.Two Cases of Ovarian Pregnancy.
Sang Moon LEE ; Jae Hyun JO ; In Soo LEE ; Kyoung Won LEE ; Yeoung Chan PARK ; Kun Seog SEO ; Hong Ju LEE
Korean Journal of Obstetrics and Gynecology 1997;40(12):2909-2912
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Ectopic*
5.Diagnostic pitfall in obstetrics-with an emphasis on ectopic pregnancy.
Korean Journal of Legal Medicine 1991;15(2):42-44
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Ectopic*
6.Two cases of ovarian pregnancy.
Eun Joo JUNG ; Won Hee HAN ; Bong Hyun KIM ; Bo Ok LEE ; Yong Hae PARK
Korean Journal of Obstetrics and Gynecology 1993;36(2):274-278
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Ectopic*
7.The efficacious non - surgical management of ectopic pregnancy.
Ji Yeon KANG ; Jae Sook ROH ; Ill Woon JI ; Eun Hwan JEONG ; Hak Soon KIM
Korean Journal of Obstetrics and Gynecology 2000;43(9):1692-1699
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Ectopic*
8.A case of ectopic pregnancy with unusual high beta-HCG and ultrasonographic findings.
Kee Sung KIM ; Dae Woon KIM ; Sam Hyun CHO ; Soo Hyun CHO ; Hyung MOON
Korean Journal of Obstetrics and Gynecology 1992;35(5):783-786
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Ectopic*
10.Three cases of ovarian pregnancy.
Eun Hee PARK ; Yeon Hee LEE ; Jeong Woon KANG ; Hyang Mi LEE ; Seung Heon CHOI
Korean Journal of Obstetrics and Gynecology 1993;36(5):700-704
No abstract available.
Female
;
Pregnancy
;
Pregnancy, Ectopic*