How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

3,627 results for

Ectopic Pregnancy

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

121. An Unusual Case of Live Caesarean Scar Ectopic Pregnancy: A Common Entity in an Uncommon Location (PubMed)

An Unusual Case of Live Caesarean Scar Ectopic Pregnancy: A Common Entity in an Uncommon Location Scar pregnancy is an extremely rare type of ectopic pregnancy, where there is implantation of the gestational sac onto the anterior wall of the uterus at the site of previous LSCS scar in a multipara female. Due to a poor vascular supply to the lower uterine segment, caesarean scars may heal improperly predisposing it to be a site of improper implantation of the gestational sac.The characteristic (...) features are empty uterus and cervix, gestational sac in the anterior part of lower uterine segment with a history of painless vaginal bleeding. It carries a high risk of morbidity related to uterine rupture and extensive haemorrhage.In case of a previous LSCS delivery in a female with a viable gestational sac in the lower uterine segment and elevated B-Hcg levels, the possibility of scar ectopic pregnancy should be considered. KCl or methotrexate can be injected directly into the foetal pole under

Full Text available with Trip Pro

2017 Polish Journal of Radiology

122. Diagnosis and management of intramural ectopic pregnancy in the second trimester—a case report (PubMed)

Diagnosis and management of intramural ectopic pregnancy in the second trimester—a case report Intramural ectopic pregnancy is one of the rarest types of ectopic pregnancy, with risk of 1:30000. Confirmation of intramural ectopic pregnancy is difficult and is often performed intraoperatively. Intramural ectopic pregnancy often requires hysterectomy to avoid life-threatening haemorrhage. We present a case of intramural ectopic pregnancy in the second trimester, including its diagnostic (...) criteria and treatment plan. Transvaginal ultrasound and MRI are important non-invasive methods in diagnosing this type of ectopic pregnancy. Clinicians should provide consideration to a combination of strategies and do their best to preserve patients' uteri and fertility. In this case, clinicians excluded the gestational sac, repaired the uterus and saved the patient's fertility.

Full Text available with Trip Pro

2017 BJR Case Reports

123. Autologous and Nonautologous Blood Transfusion in Patients with Ruptured Ectopic Pregnancy and Severe Blood Loss (PubMed)

Autologous and Nonautologous Blood Transfusion in Patients with Ruptured Ectopic Pregnancy and Severe Blood Loss There are some theoretical concerns for the use of intraoperative cell salvage (ICS) in patients with ectopic pregnancy. This study aimed to observe the impact of ICS on the coagulation function and clinical outcomes of patients with ruptured ectopic pregnancy and severe blood loss.This was a retrospective study of 225 patients with ruptured ectopic pregnancy and severe blood loss (...) at discharge (-6.5%, P = 0.002) and thrombin time (-3.7%, P = 0.002) were decreased 24 h after surgery, while 24 h APTT was increased (+4.6%, P < 0.001). In the control group, hemoglobin at discharge (-16.8%, P < 0.001) was decreased after surgery and 24 h APTT was increased (+2.4%, P = 0.045). At discharge, hemoglobin levels were higher in the ICS group (P < 0.001).ICS was associated with good clinical outcomes in patients with ruptured ectopic pregnancy and severe blood loss.

Full Text available with Trip Pro

2017 BioMed research international

124. Ectopic pregnancy in the liver incidentally diagnosed by imaging: A case report (PubMed)

Ectopic pregnancy in the liver incidentally diagnosed by imaging: A case report The present report describes the case of a 31-year-old woman diagnosed with an ectopic pregnancy in the liver. The patient presented with amenorrhea for 40 days and abdominal distention for 27 days. A liver mass had been detected 6 days prior to presentation. Using ultrasound (US), a hyperechoic mass with a fluid sonolucent area was detected in the right hepatic lobe. Examination by computed tomography (CT) revealed (...) in the central portion. The patient was then subjected to hysteroscopy and laparoscopy. Histopathologically, the mass was an ectopic pregnancy. The patient recovered following the surgery. In conclusion, a timely diagnosis of ectopic pregnancy was made for a 31-year-old women with an ectopic pregnancy in the liver on the basis of US, CT and PET-CT imaging results, which enabled surgery to be undertaken prior to any serious consequences. These observations may be helpful for the diagnosis of similar cases

Full Text available with Trip Pro

2017 Experimental and therapeutic medicine

125. Apparent ectopic pregnancy with unexpected finding of a germ cell tumor: A case report (PubMed)

Apparent ectopic pregnancy with unexpected finding of a germ cell tumor: A case report •Ovarian germ cell tumors can produce hCG and be confused with ectopic pregnancy.•Ovarian germ cell tumors can present with subacute pelvic pain.•Ectopic pregnancy should be the primary differential diagnosis due to its acuity.

Full Text available with Trip Pro

2017 Gynecologic Oncology Reports

126. A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding (PubMed)

A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding Ectopic pregnancy resulting in perforation of the rectum and rectal bleeding is clinically rare. We report an extremely rare case of chronic ectopic pregnancy with decreasing low levels of serum β-HCG resulting in rectal bleeding. A 31-year-old woman, gravida 3, para 3, with moderate abdominal pain and rectal bleeding was diagnosed with a tubal pregnancy. The tube was adherent to the rectum. Following salpingo-oophorectomy (...) , the perforation of the rectum was sutured. Biopsies from the rectum as well as the tube confirmed chronic ectopic pregnancy. This case illustrates that diagnosing ectopic pregnancy is sometimes extremely challenging and it underlines the importance of follow-up consultations when the final diagnosis has not yet been reached.

Full Text available with Trip Pro

2017 Case reports in obstetrics and gynecology

127. A Rare Case Report of Caesarean Scar Ectopic Pregnancy (PubMed)

A Rare Case Report of Caesarean Scar Ectopic Pregnancy Caesarean scar ectopic is one of the rarest of all ectopic pregnancies. It is defined as when a blastocyst implants on a previous Caesarean scar. The incidence of Caesarean scar ectopic has increased due to increase in number of Caesarean deliveries. Early diagnosis of this can be done by using sonography. It is very important because a delay can lead to increased maternal morbidity and mortality. Early diagnosis leads to prompt management (...) and improves the outcome by allowing preservation of future fertility. Magnetic Resonance Imaging (MRI) has important role when sonography is equivocal or inconclusive before therapy or intervention. We are reporting a rare case of G3P2l2 with previous two Caesarean deliveries, diagnosed as Caesarean scar ectopic pregnancy with the help of sonography and MRI. Patient underwent laparotomy and on histopathological examination Caesarean scar pregnancy was confirmed.

Full Text available with Trip Pro

2017 Journal of clinical and diagnostic research : JCDR

128. A rare case of ectopic pregnancy in a caesarean section scar: a case report (PubMed)

A rare case of ectopic pregnancy in a caesarean section scar: a case report Intramural pregnancy with implantation in a previous caesarean section scar is probably the rarest location for an ectopic pregnancy. Little is known about its incidence and natural history. This rare condition may be accompanied by serious clinical events, such as rupture of the uterus and unrestrainable haemorrhage, which are sometimes treated with hysterectomy causing sterility. Most treatment choices are effectual (...) , such as dilatation and curettage (D and C), excision of trophoblastic tissues using either laparotomy or laparoscopy, systemically administered methotrexate and, more recently, uterine artery embolization. Here, we report a case of an ectopic pregnancy that occurred in the scar of a previous caesarean section, which was diagnosed by transvaginal sonography.

Full Text available with Trip Pro

2017 BJR Case Reports

129. Diagnosing ectopic pregnancy in the emergency setting (PubMed)

Diagnosing ectopic pregnancy in the emergency setting Ectopic pregnancy is the implantation of a fertilized egg outside the uterine endometrial cavity. For women presenting to the emergency department with abdominal pain and/or vaginal bleeding, ectopic pregnancy is an important diagnostic consideration. The diagnosis is made based on laboratory values and ultrasound imaging findings. The ultrasound appearance of both normal early pregnancy and ectopic pregnancy are variable and often subtle (...) , presenting diagnostic challenges for radiologists. This pictorial essay describes and illustrates the sonographic findings of ectopic pregnancy and reviews the differential diagnoses that can mimic ectopic pregnancy on ultrasound. With the possibility of medical management, the value of early detection and prompt initiation of treatment has increased in improving clinical outcomes and preventing the complications of ectopic pregnancy.

Full Text available with Trip Pro

2017 Ultrasonography

130. Increased incidence of ectopic pregnancy after in vitro fertilization in women with decreased ovarian reserve (PubMed)

Increased incidence of ectopic pregnancy after in vitro fertilization in women with decreased ovarian reserve The incidence of ectopic pregnancy after assisted reproductive technology is increased approximately 2.5-5-fold compared with natural conceptions.Strategies were used to decrease the incidence of ectopic pregnancy, but ectopic pregnancy still occurs. In the present study, women were selected with decreased ovarian reserve (defined as FSH > 10 IU/L) aged 20 to 38 years who underwent IVF (...) -ET between 2009 and 2014. These 2,061 women were age-matched with an equal number of women with normal ovarian reserve (defined as FSH ≤ 10 IU/L). During cycles following fresh embryo transfer, 93 patients were diagnosed with ectopic pregnancy. The incidence of ectopic pregnancy in clinical pregnancies was significantly higher in the decreased ovarian reserve than in the normal ovarian reserve group (5.51% vs. 2.99%). After adjusting for confounding factors, the incidence of ectopic pregnancy

Full Text available with Trip Pro

2017 Oncotarget

131. An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain (PubMed)

An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain 28123626 2018 11 13 1920-8642 8 1 2017 World journal of emergency medicine World J Emerg Med An unusual emergency department case: ruptured ectopic pregnancy presenting as chest pain. 71-73 10.5847/wjem.j.1920-8642.2017.01.014 Dichter Eric E Department of Emergency Medicine, Rowan University SOM, Kennedy University Hospital, Stratford, New Jersey, USA. Espinosa James J Department of Emergency Medicine

Full Text available with Trip Pro

2017 World journal of emergency medicine

132. A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube (PubMed)

A Third Surgically Managed Ectopic Pregnancy after Two Salpingectomies Involving the Opposite Tube Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated (...) surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine. The most appropriate surgical intervention should be discussed when managing recurrent ectopic pregnancies. It might be necessary to perform total salpingectomy to reduce the risk of future recurrence on the remaining tube.

Full Text available with Trip Pro

2017 Case reports in obstetrics and gynecology

133. Clinical predictors of failing one dose of methotrexate for ectopic pregnancy after in vitro fertilization (PubMed)

Clinical predictors of failing one dose of methotrexate for ectopic pregnancy after in vitro fertilization The aim of this study is to investigate the clinical predictors of failure of a single dose of methotrexate (MTX) for management of ectopic pregnancy after in vitro fertilization (IVF).A retrospective cohort study was performed of women who conceived ectopic pregnancies following fresh or frozen IVF cycles at an academic infertility clinic between 2007 and 2014, and received intramuscular (...) MTX (50 mg/m2). Successful single-dose MTX treatment was defined as a serum beta-human chorionic gonadotropin (hCG) decline ≥15% between days 4 and 7 post-treatment. Logistic regression models adjusted for oocyte age, number of embryos transferred, and prior ectopic pregnancy were used to estimate the adjusted odds ratio (OR) (95% confidence interval [CI]) of failing one dose of MTX.Sixty-four patients with ectopic pregnancies after IVF were included. Forty required only one dose of MTX (62.5

Full Text available with Trip Pro

2017 Journal of assisted reproduction and genetics

134. Cervical Ectopic Pregnancy in a 23 Year Old with Uterus Didelphys (PubMed)

Cervical Ectopic Pregnancy in a 23 Year Old with Uterus Didelphys Ectopic pregnancy remains an important diagnosis for the emergency physician to recognize, accounting for up to 2% of all pregnancies and associated with significant morbidity and mortality. Ectopic pregnancies can implant in various sites outside of the uterus, one of the rarest of which is in the cervix. Cervical ectopics account for less than 1% of ectopic pregnancies, but are associated with higher rates of significant (...) bleeding than others.1-2 Uterine anomalies are a predisposing factor for ectopic pregnancies. This case highlights the management of a cervical ectopic pregnancy in a 23 year old with a history of uterine didelphys.

Full Text available with Trip Pro

2017 Clinical Practice and Cases in Emergency Medicine

135. Pretreatment serum human chorionic gonadotropin cutoff value for medical treatment success with single-dose and multi-dose regimen of methotrexate in tubal ectopic pregnancy (PubMed)

Pretreatment serum human chorionic gonadotropin cutoff value for medical treatment success with single-dose and multi-dose regimen of methotrexate in tubal ectopic pregnancy To investigate individual pretreatment serum human chorionic gonadotropin (hCG) cutoff value for medical treatment success with single-dose and multi-dose regimen of methotrexate in tubal ectopic pregnancy.Eighty-five women who received methotrexate for the treatment of tubal ectopic pregnancy during 2003 to 2015 were

Full Text available with Trip Pro

2017 Obstetrics & gynecology science

136. Developing a knowledge base to support the annotation of ultrasound images of ectopic pregnancy (PubMed)

Developing a knowledge base to support the annotation of ultrasound images of ectopic pregnancy Ectopic pregnancy is a frequent early complication of pregnancy associated with significant rates of morbidly and mortality. The positive diagnosis of this condition is established through transvaginal ultrasound scanning. The timing of diagnosis depends on the operator expertise in identifying the signs of ectopic pregnancy, which varies dramatically among medical staff with heterogeneous training (...) . Developing decision support systems in this context is expected to improve the identification of these signs and subsequently improve the quality of care. In this article, we present a new knowledge base for ectopic pregnancy, and we demonstrate its use on the annotation of clinical images.The knowledge base is supported by an application ontology, which provides the taxonomy, the vocabulary and definitions for 24 types and 81 signs of ectopic pregnancy, 484 anatomical structures and 32 technical

Full Text available with Trip Pro

2017 Journal of biomedical semantics

137. No increase in free fetal DNA level in ectopic pregnancy: A preliminary study (PubMed)

No increase in free fetal DNA level in ectopic pregnancy: A preliminary study The aim of this study was to diagnose ectopic pregnancy in the early period by measuring cell-free fetal DNA (cffDNA) levels in maternal blood using spectrophotometry.Thirty patients with ectopic pregnancy and 30 patients with first trimester intrauterine pregnancy were enrolled in this prospective controlled study. cffDNA levels in maternal serum were measured using spectrophotometry.There were no differences between (...) the two groups in terms of cffDNA absorbance levels.Spectrophotometry is not suitable for measuring cffDNA levels to diagnose ectopic pregnancies in the early period. Practical and cost-effective methods should be found or larger patient series should be investigated.

Full Text available with Trip Pro

2017 Turkish Journal of Obstetrics and Gynecology

138. Interstitial ectopic pregnancy: a case report (PubMed)

Interstitial ectopic pregnancy: a case report Interstitial ectopic pregnancy is a rare type of tubal pregnancy that poses diagnostic challenge. It is associated with the highest risk of massive, uncontrollable bleeding and can result in uterine rupture in the second trimester. This is a rare case of unruptured interstitial ectopic diagnosed in the first trimester by ultrasonography and managed medically with systemic methrotrexate and serial ultrasound monitoring.`.

Full Text available with Trip Pro

2017 The Pan African medical journal

139. Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges (PubMed)

Retroperitoneal Ectopic Pregnancy: Diagnosis and Therapeutic Challenges Retroperitoneal ectopic pregnancy is extremely rare. This unusual location represents a great challenge for clinicians due to the difficulties of diagnosis and high risk of life-threatening complications.We report the case of a spontaneous early pregnancy of undetermined location in a patient with a history of previous laparoscopic surgery. Diagnosis steps using clinical examination, ultrasound, and magnetic resonance (...) imaging led to the localization of the pregnancy, in the left side of the para-aortic region, in the retroperitoneal space.Retroperitoneal ectopic pregnancy is an uncommon entity with rather complex pathogenesis. Clinicians should carefully interpret clinical signs, biological findings, and imaging features and be aware of unusual locations such as the retroperitoneum for ectopic pregnancies. Early diagnosis and appropriate management strategy are conditio sine qua non for successful treatment

Full Text available with Trip Pro

2017 Case reports in surgery

140. Restrictive Transfusion Strategy Does Not Affect Clinical Prognosis in Patients with Ectopic Pregnancy (PubMed)

Restrictive Transfusion Strategy Does Not Affect Clinical Prognosis in Patients with Ectopic Pregnancy To assess the effects of restrictive transfusion strategy on hemoglobin (Hb) levels and prognosis in patients with ectopic pregnancy and severe hemorrhage undergoing emergency surgery, patient data were collected from 2012 to 2016. Following transfusion guidelines, restrictive transfusion was performed; at Hb levels of 60-70 to 100 g/L, transfusion was continued or not based on disease status (...) , and healing rates, and surgical complications and hospital stay. No statistically significant difference was obtained in hospital stay among N1, N2, and N3 groups. Compared with N1 patients, cases with blood loss ≥ 1200 ml had significantly longer hospital stay. Interestingly, hospital stay was correlated with surgical approach, location of pregnancy, and operation time. Restrictive transfusion strategy could be safely used for emergency surgery in ectopic pregnancy with acute blood loss.

Full Text available with Trip Pro

2017 BioMed research international

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>