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Ectopic Pregnancy

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141. Recurrent Cesarean Scar Ectopic Pregnancy Treated with Systemic Methotrexate (PubMed)

Recurrent Cesarean Scar Ectopic Pregnancy Treated with Systemic Methotrexate Cesarean scar pregnancy (CSP) is a rare event; however its incidence has been rising due to the increasing rates of cesarean deliveries. The majority of cases present with signs or symptoms requiring surgery, which often results in hysterectomy. The recurrence of CSP is even rarer with only few cases which have been reported. This is a report of recurrent cesarean scar ectopic pregnancy (RCSP) that was promptly (...) 10 weeks. The current ectopic was treated with two doses of systemic methotrexate; her serum β-hCG reached undetectable levels within 7 weeks. Thus, patients with a history of prior CSP should be carefully monitored with transvaginal ultrasound during subsequent pregnancies to allow early diagnosis of RCSP, which could then be treated conservatively.

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2017 Case reports in obstetrics and gynecology

142. The gynecologist's role in preventing overdiagnosis of ectopic molar pregnancy: a case report. (PubMed)

The gynecologist's role in preventing overdiagnosis of ectopic molar pregnancy: a case report. Ectopic hydatidiform mole is a rare, yet overdiagnosed, entity. A diagnosis of ectopic molar pregnancy requires close follow-up, has implications on future fertility, and may require chemotherapy. Patients diagnosed with a hydropic abortus do not require hormone surveillance or abstinence from pregnancy for the extended time period generally recommended for patients diagnosed with a complete (...) or partial hydatidiform mole. The correct classification of products of conception is clinically important because each of the three diagnoses has a different potential for malignant transformation.A 29-year-old woman, G5P2104, with ectopic pregnancy and without clinical or laboratory data suspicious for molar pregnancy required ancillary histopathologic testing for accurate diagnosis.This case illustrates the vital role of the gynecologist in assimilating information to prevent over-diagnosis of ectopic

2017 Journal of Reproductive Medicine

143. Ectopic pregnancy after hysterectomy: a case report. (PubMed)

Ectopic pregnancy after hysterectomy: a case report. Ectopic pregnancy after hysterectomy is an unusual diagnosis that may lead to significant morbidity, especially when diagnosis is not timely.A 41-year-old woman presenting with abdominal pain and vaginal bleeding 5 years after a vaginal hysterectomy was found to have a tubal ectopic pregnancy, which required emergent surgical intervention.Ectopic pregnancy after hysterectomy represents a challenging diagnosis because it is counter-intuitive (...) and very uncommon. The diagnosis of posthys-terectomy ectopic pregnancy, though exceptionally rare, should be considered for women presenting with abdominal pain after hysterectomy.

2017 Journal of Reproductive Medicine

144. Classification and management of cervical ectopic pregnancies: experience at a single institution. (PubMed)

Classification and management of cervical ectopic pregnancies: experience at a single institution. To classify cervical ectopic pregnancies including previous cesarean section scar pregnancies and to describe the management of cervical ectopic pregnancies.This was a retrospective analysis of all cervical ectopic pregnancies, including previous cesarean scar pregnancies, diagnosed at the Korea University Guro Hospital, Seoul, Korea, between January 1997 and October 2009 using transvaginal (...) cervical ectopic pregnancies including previous cesarean section scar pregnancies were diagnosed. Cesarean section scar-related pregnancy (intramural type and nonintramural type) and cesarean section scar-unrelated pregnancy accounted for 10, 12 and 18 cases, respectively. D&C was performed in 21 patients and was successful in all cases except one. The success rate of medical treatment was 61.5% (8/13). Nine patients (22.5%) required a blood transfusion, and a total hysterectomy was performed in five

2017 Journal of Reproductive Medicine

145. Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication. (PubMed)

Ectopic pregnancies in a Caesarean scar: review of the medical approach to an iatrogenic complication. Implantation of a pregnancy within a Caesarean fibrous tissue scar is considered to be the rarest form of ectopic pregnancy and a life-threatening condition. We conducted a computer search of the English literature of all studies since 2002 to gather updated data on the outcome of such pregnancies. Sixty-six new cases were reported since 2002, possibly reflecting the increasing number (...) of Caesareans currently being performed as well as the more widespread use of the transvaginal scan allowing their earlier detection. Analysis of these women's obstetric history revealed that those at risk for pregnancy in a Caesarean scar appear to have a history of dilatation and curettage, placental pathology, ectopic pregnancy, and IVF. Twenty-one out of 39 for which this information was available (54%) had undergone multiple (> or =2) Caesareans and 13 had previous dilatation and curettage, which might

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2017 Human Reproduction Update

146. Ectopic pregnancies after infertility treatment: modern diagnosis and therapeutic strategy. (PubMed)

Ectopic pregnancies after infertility treatment: modern diagnosis and therapeutic strategy. Ectopic pregnancy (EP) is a major event in a woman's reproductive life. It complicates infertility treatment and must be recognized early to simplify the treatment strategy, which must always be directed towards optimizing subsequent fertility. Epidemiological findings indicate that tubal history and smoking are the principal risk factors of those EP that are considered reproductive (rather than (...) contraceptive) failures. Adding together the attributable risks for EP allows the construction of a risk scale to determine its probability for any given patient. This risk calculation makes it easier to establish a diagnostic strategy that uses abdominal and transvaginal ultrasound and hCG assays. Progesterone assays are useful only for determining the activity of the pregnancy but do not help to identify its site. Conservative treatment is to be preferred unless the EP occurs on a known hydrosalpinx. All

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2017 Human Reproduction Update

147. Cervical Ectopic Pregnancy: Persistence Despite a Serologically Negative β-hCG. A Case Report. (PubMed)

Cervical Ectopic Pregnancy: Persistence Despite a Serologically Negative β-hCG. A Case Report. Cervical pregnancy is a rare type of ectopic pregnancy that can be associated with significant hemorrhage and loss of fertility. Given its rarity, most effective treatment protocols are not well established.A 33-year-old primigravid woman at 11 weeks' gestation presented to our institution with a cervical ectopic pregnancy with an initial β-hCG of 114,080 IU/L. She received 2 doses of systemic (...) multidose methotrexate (1 mg/kg) with oral leucovorin on alternating days. Fetal intracardiac potassium chloride injection was also performed. Despite an appropriate decline to undetectable levels of serum β-hCG, as well as resumption of menses, there was persistent sonographic demonstration of the cervical ectopic pregnancy. Surgery was ultimately required to remove the ectopic products of conception.Despite seemingly successful medical treatment of the cervical ectopic pregnancy with resultant

2017 Journal of Reproductive Medicine

148. A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy. (PubMed)

A randomised trial comparing laparoscopy with laparotomy in the management of women with ruptured ectopic pregnancy. Ruptured ectopic pregnancy (REP) is a common gynaecological emergency in resource-poor settings, where laparotomy is the standard treatment despite laparoscopic surgery being regarded as the optimal treatment. There is a lack of prospective randomised data comparing laparoscopic surgery with laparotomy in the surgical management of women with REP.To compare operative laparoscopy

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2017 South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde Controlled trial quality: uncertain

149. Medical treatment of ectopic pregnancy: a committee opinion

Medical treatment of ectopic pregnancy: a committee opinion Medical treatment of ectopic pregnancy: a committee opinion The Practice Committee of the American Society for Reproductive Medicine American Society for Reproductive Medicine, Birmingham, Alabama Methotrexate,afolicacidantagonist,isaneffectivetreatmentforearlyunrupturedectopicpregnancy.Severaltreatmentregimensare available. Methotrexate is more effective when used to treat ectopic pregnancies with lower human chorionic gonadotropin (...) to this document at www.asrm.org/elearn Discuss: You candiscuss thisarticlewith its authorsandwith otherASRM membersat http:// fertstertforum.com/goldsteinj-methotrexate-ectopic-pregnancy/ Use your smartphone to scan this QR code and connect to the discussion forum for this article now.* * Download a free QR code scanner by searching for “QR scanner” in your smartphone’s app store or app marketplace. E ctopic pregnancy is a signi?cant cause of morbidity and mortality inthe?rsttrimesterofpregnancy (1).Currently

2013 Society for Assisted Reproductive Technology

150. A Clinical Experience of Ectopic Pregnancies with Initial Free Intraperitoneal Fluid (PubMed)

A Clinical Experience of Ectopic Pregnancies with Initial Free Intraperitoneal Fluid Extra-uterine pregnancy or Ectopic Pregnancy (EP) is a major health problem for pregnant women, presenting as a potentially life-threatening emergency in the first trimester. There are three major options for the treatment of EP: expectant management, surgical treatment and medical management. The presence of free intraperitoneal fluid in EP-diagnosed patients is crucial for treatment planning and evaluation.To (...) compare the outcomes of both the expectant man-agement and medical treatment with methotrexate (MTX) in ectopic pregnancies with free intraperitoneal fluid.This retrospective cohort study inclu-ded a total of 91 ectopic pregnancies with or without rupture in which the women had initial free intraperitoneal fluid and were haemodynamically stable. Serial β-HCG measurements were used to assess the outcome of expectant management and medical treatment with MTX. For the statistical analysis, the SPSS

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2016 Journal of clinical and diagnostic research : JCDR

151. Caesarean Scar Ectopic Pregnancy: Report of Two Cases (PubMed)

Caesarean Scar Ectopic Pregnancy: Report of Two Cases Cases of Caesarean Scar Ectopic Pregnancy (CSEP) are becoming increasingly common at tertiary care hospitals because of increase in rate of CS. This condition is often complicated by life threatening bleeding, uterine rupture, which might require hysterectomy leading to permanent infertility. Management can be medical, surgical or combined depending on the clinical presentation. It includes systemic methotrexate or local uterine artery

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2016 Journal of clinical and diagnostic research : JCDR

152. Considerations for management of interstitial ectopic pregnancies: two case reports (PubMed)

Considerations for management of interstitial ectopic pregnancies: two case reports Conventional treatment of interstitial pregnancies includes systemic methotrexate, direct methotrexate injection, wedge resection, or hysterectomy. We present two cases of interstitial pregnancies that were successfully managed by different minimally invasive surgical techniques. We also report the novel use of hysteroscopic urologic stone retrieval forceps in the transvaginal removal of persistent products (...) of conception after systemic methotrexate for an interstitial pregnancy.Case 1 was a 28-year-old gravida 1 white woman at 8 weeks gestation; she was diagnosed with a left interstitial pregnancy. After laparoscopic confirmation of the interstitial pregnancy, successful ultrasound-guided suction dilation and curettage was performed. Case 2 was a 33-year-old gravida 3 para 1021 (one term pregnancy, no preterm pregnancies, one ectopic pregnancy and one spontaneous miscarriage, and one living child) Hispanic

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2016 Journal of medical case reports

153. Ectopic pregnancy in simultaneous pancreas-kidney transplantation: A case report (PubMed)

Ectopic pregnancy in simultaneous pancreas-kidney transplantation: A case report We present a case report of ectopic pregnancy (EP) after simultaneous pancreas-kidney transplantation (SKPTx).A 33-year-old female status post SKPTx suddenly got abdominal pain in the lower level. She had high human chorionic Gonadotropin test. Ultrasonography revealed that there was no fetus in the uterus but a dilated right fallopian tube, which strongly suggested ectopic pregnancy. An emergency operation (...) was performed and a dilated right side uterine tube was found with adhesions to her transplant. Salpingectomy was performed and no visible injury to the pancreas was found by the procedure. Pathological evaluation showed ectopic pregnant fetus, and no pancreas dysfunction was observed after the operation.This is the first case and operation report of EP after SKPTx. We should consider various causes of acute abdomen as well as several pathological condition in the transplanted pancreas such as pancreatitis

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2016 International journal of surgery case reports

154. Clinical Analysis of Ectopic Pregnancies in a Tertiary Care Centre in Southern India: A Six-Year Retrospective Study (PubMed)

Clinical Analysis of Ectopic Pregnancies in a Tertiary Care Centre in Southern India: A Six-Year Retrospective Study Ectopic Pregnancy (EP) is a life-threatening emergency commonly encountered by medical practitioners where diagnosis can often be missed. Any woman in the reproductive age group, presenting with lower abdominal pain or vaginal bleeding must raise the suspicion of an ectopic pregnancy to prevent mortality and morbidity.To review all cases of EP and determine the incidence of EP (...) %) and pelvic surgery (37.50%). Fifteen cases (20.8%) were diagnosed in women who had tubectomy. The classic triad of lower abdominal pain, amenorrhoea and vaginal bleeding was seen in 29(40.3%) cases. Ultrasonography was required to arrive at a diagnosis in 28(38.9%) cases. Urine pregnancy test was positive in 100% of cases. Majority (94.4%) were tubal ectopic pregnancies. Medical management with methotrexate alone benefitted 10(13.89%) of patients while another four required surgery for failed medical

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2016 Journal of clinical and diagnostic research : JCDR

155. The 100 most cited articles in ectopic pregnancy: a bibliometric analysis (PubMed)

The 100 most cited articles in ectopic pregnancy: a bibliometric analysis Ectopic pregnancy (EP) remains a major gynecological emergency and is a cause of morbidity or even mortality in women. As a consequence, top citation analysis of EP research in database of the Science Citation Index Expanded is needed to assess the publication trends of leading countries/territories and institutes as well as the research hotspots of EP. A total of 4881 articles relevant to EP were retrieved

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2016 SpringerPlus

156. Ruptured Ectopic Pregnancy with Contralateral Ovarian Serous Cyst Adenoma Torsion: Laparoscopic Management of Double Trouble (PubMed)

Ruptured Ectopic Pregnancy with Contralateral Ovarian Serous Cyst Adenoma Torsion: Laparoscopic Management of Double Trouble Adnexal torsion is responsible for 2.7% of all gynecological emergencies. Ectopic pregnancy is relatively common, occurring in 2% of all pregnancies. We report the second case of ruptured right tubal ectopic gestation with torsion of serous cystadenoma of left ovary. This was diagnosed after emergency laparoscopy done for acute abdomen. Right salpingectomy and left

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2016 Case reports in obstetrics and gynecology

157. Abnormal placentation in caesarean scar ectopic pregnancy (PubMed)

Abnormal placentation in caesarean scar ectopic pregnancy 27789549 2017 02 27 2018 11 13 1757-790X 2016 2016 Oct 27 BMJ case reports BMJ Case Rep Abnormal placentation in caesarean scar ectopic pregnancy. bcr2016217311 10.1136/bcr-2016-217311 Chen Melissa J MJ Department of Obstetrics and Gynecology, University of California, Davis School of Medicine, Sacramento, California, USA. Huang Eric C EC Department of Pathology, University of California, Davis, Sacramento, California, USA. Hou Melody Y (...) MY Department of Obstetrics and Gynecology, University of California, Davis School of Medicine, Sacramento, California, USA. eng Case Reports Journal Article 2016 10 27 England BMJ Case Rep 101526291 1757-790X IM Adult Cesarean Section Cicatrix diagnostic imaging Female Humans Placenta Accreta diagnostic imaging Placentation Pregnancy Pregnancy, Ectopic diagnostic imaging Ultrasonography, Prenatal Conflicts of Interest: None declared. 2016 10 30 6 0 2017 2 28 6 0 2016 10 30 6 0 epublish 27789549

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2016 BMJ case reports

158. The Correlation Between Uterine Endometrial Pattern and Ectopic Pregnancy

The Correlation Between Uterine Endometrial Pattern and Ectopic Pregnancy The Correlation Between Uterine Endometrial Pattern and Ectopic Pregnancy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . The Correlation Between Uterine Endometrial Pattern and Ectopic Pregnancy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT02963012 Recruitment Status : Not yet recruiting First Posted : November 15, 2016 Last Update Posted

2016 Clinical Trials

159. Risk of Ectopic Pregnancy and Variation of Luteal Estradiol and Progesterone Levels in IVF

Risk of Ectopic Pregnancy and Variation of Luteal Estradiol and Progesterone Levels in IVF Risk of Ectopic Pregnancy and Variation of Luteal Estradiol and Progesterone Levels in IVF - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more (...) studies before adding more. Risk of Ectopic Pregnancy and Variation of Luteal Estradiol and Progesterone Levels in IVF The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02793089 Recruitment Status : Completed First Posted : June 8, 2016 Last Update Posted : June 8, 2016 Sponsor: IVI Vigo Collaborator

2016 Clinical Trials

160. Evaluation of the Axonemal Dynein Heavy Chain 5 and Creatine Kinase Concentration in Cervical Fluid for Early Detection of the Ectopic Pregnancy

Evaluation of the Axonemal Dynein Heavy Chain 5 and Creatine Kinase Concentration in Cervical Fluid for Early Detection of the Ectopic Pregnancy Evaluation of the Axonemal Dynein Heavy Chain 5 and Creatine Kinase Concentration in Cervical Fluid for Early Detection of the Ectopic Pregnancy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save (...) this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Evaluation of the Axonemal Dynein Heavy Chain 5 and Creatine Kinase Concentration in Cervical Fluid for Early Detection of the Ectopic Pregnancy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details

2016 Clinical Trials

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