Diagnosis Of Ectopic Gestation Research Articles

STUDY OF RISK FACTORS, MODE OF PRESENTATION AND TREATMENT MODALITIES OF ECTOPIC PREGNANCY

Introduction: Ectopic Pregnancy is a life threatening emergency where diagnosis is often missed at the rst contact. The present study emphasis more on clinical presentation, risk factors, diagnostic methods, medical and surgical treatment modalities and its associated complications. Therefore elucidating the importance of early diagnosis in the management of ectopic pregnancy. : A retrospectiveMaterials and methods analysis done at Government Dharmapuri medical College for the period of three years from may 2019 to may 22. All the patients diagnosed with ectopic pregnancy are included in the study and details regarding the mode of presentation, risk factors,methods of diagnosis, treatment modalities were taken from hospital records. Total of 113 patients of ectopic pregnancy were present to hospital during the study period. TheResult: maximum number of Ectopic present in the age group of 26-30yrs, most common mode of presentation is amenorrhea which is 79.6%and then pain abdomen 63.7%.and 3.5% patient present in shock. Surgery was the primary modality of treatment in this study 95.6%.only 4.4%were treated by conservative approach by Methotrexate. As the incidence of ectopic is on the raise , screening the high risk cases takes priority in earlyConclusion: diagnosis of ectopic gestation before it's rupture .The conservative management By Methotrexate is promisingin preventing the emergency situations necessitating surgical procedure and its consequences .

Tubal abortion masquerading as an acute appendicitis with a negative urine pregnancy test: A case report.

Introduction and importanceSpontaneous expulsion of product of conception through the fimbrial end to the peritoneal cavity is a rare mode of progression of tubal pregnancy. Thus, ectopic pregnancy can present with right-sided iliac fossa pain which can be preoperatively misdiagnosed as acute appendicitis.Case historyA 30-year regularly menstruating woman presented with right iliac fossa pain which was diagnosed as acute appendicitis preoperatively with an ultrasound. However, intraoperatively, a product of conception-like material measuring 3 ∗ 3 cm was seen hanging from the right fimbrial end of the fallopian tube with a normal appendix. With an intraoperative diagnosis of spontaneous tubal abortion, histopathology of the resected mass showed chorionic villi lined by trophoblastic cells along with decidualized tissue, fibrinoid material, and blood clot.DiscussionEctopic pregnancy presenting as a right iliac fossa pain can mimic acute appendicitis. An abnormal β-hCG pattern/level which doesn't correspond to the gestational age suggests the likely diagnosis of ectopic gestation. Transvaginal ultrasound is the preferred imaging modality for the evaluation of patients with suspected ectopic gestation. A urine pregnancy kit cannot always exclude an underlying ectopic pregnancy because of the associated false-negative results.ConclusionUrgent laparotomy to prevent detrimental complications associated with ectopic gestation should be done. Surgeons should be aware of this suspicion as a false negative UPT can happen and misguide clinicians about the possible occurrence of ectopic pregnancy.

Spontaneous unilateral twin tubal ectopic pregnancy: A case report

Unilateral tubal twin pregnancy is rare with an incidence of 1: 125,000 spontaneous pregnancies. Majority of cases that occur follow ovulation induction and assisted reproductive technology. A 38-year-old single primipara with a 9-week history of amenorrhea, 2-week history of lower abdominal pain, and a 3-day history of vaginal bleeding. Previous history of ectopic gestation with surgery, as well as repeated elective abortions and pelvic infections, was elicited. She was hemodynamically unstable with features of an acute abdomen. Pelvic examination revealed features suggestive of ectopic gestation. Spot serum pregnancy test was positive and the pelvic ultrasound revealed left tubal twin ectopic gestation with the significant peritoneal fluid collection. An emergency laparotomy with left salpingectomy was performed, with an un-complicated post operation course. The diagnosis was confirmed with histology. A high index of suspicion is required in the diagnosis of ectopic gestation in order to reduce the morbidity associated with it. Unilateral twin tubal ectopic gestation, although rare, has been reported with higher frequencies, and as such, the occurrence should be carefully sought on ultrasound in order to reduce its potential morbidity and mortality.

Diagnosis of Ectopic Gestation

Diagnosis of Ectopic Gestation

The value and limitations of the Aschheim-Zondek pregnancy test

Abstract 1.1. The Aschheim-Zondek test, if the original technic is followed, is satisfactory. 2.2. Failure of positive result in pregnancy occurred in 3.1 per cent. 3.3. If the ovaries are negative microscopically, it is advisable to examine the fresh, crushed ovaries under the microscope. 4.4. No positive reaction, in the absence of pregnancy, was noted in our series. 5.5. Death of fetus may not influence the reaction for weeks. The female sex hormone blood reaction is more delicate under these circumstances. 6.6. The Aschheim-Zondek reaction is also reliable in the diagnosis of ectopic gestation. 7.7. Chorionepithelioma in the male produces a positive reaction. 8.8. The blood serum gives an accurate Aschheim-Zondek test. Further report on this will appear later. Our experience with the intravenous Friedman 13 rabbit pregnancy test, which is said to give a reaction in twenty-eight to thirty-six hours, is insufficient to permit of comment or judgment.

The Diagnosis of Ectopic Gestation : From a Clinical Analysis of 410 Cases at Bellevue Hospital

The Diagnosis of Ectopic Gestation : From a Clinical Analysis of 410 Cases at Bellevue Hospital

Leucocyte count in diagnosis of ectopic gestation: Farrar: Surgery, Gynecology and Obstetrics, 1925, xli, 655

Leucocyte count in diagnosis of ectopic gestation: Farrar: Surgery, Gynecology and Obstetrics, 1925, xli, 655

The Differential Diagnosis of Ectopic Gestation

The Differential Diagnosis of Ectopic Gestation

Errora in Diagnosis of Ectopic Gestation

Errora in Diagnosis of Ectopic Gestation