An abdominal pregnancy 10 years after treatment for pelvic tuberculosis

Article Abstract:

Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis, and is characterized by: inflammation; the formation of tubercles, which are abnormal rounded growths; tissue death; formation of abscesses and fiber-like tissue; and deposition of calcium in tissue. The disease commonly affects the respiratory organs but may also involve other body sites. Tuberculosis of the genital organs may prevent a normal intrauterine pregnancy in the future if not diagnosed or treated early. Ectopic pregnancy, or implantation of the fertilized egg outside of the uterus, may occur after treatment with anti-tuberculous agents or after surgery to repair blockage of the oviducts due to tuberculosis. A case is described of a 38-year-old woman who had been infertile for 10 years but believed she was 13 weeks pregnant based on her last menstrual period. The patient had abdominal pain, vaginal bleeding, nausea, and vomiting, and her pregnancy was confirmed by a positive urine test. The patient had a history of female genital tuberculosis, which had been treated with the drugs ethambutol and rifampin. Ultrasonography, the use of sound waves to visualize internal structures, revealed a 13-week-old embryo situated outside of the uterus; the embryo was immediately removed. Abdominal pregnancies are rare, and account for only 1.6 percent of ectopic pregnancies. They usually result in fetal death or separation of the placenta with bleeding into the abdomen. Ultrasonography is useful in diagnosing abdominal pregnancies, and symptoms of abdominal pain in an infertile woman should alert the physician to the possibility of an abdominal pregnancy. Although early diagnosis and treatment with antituberculous agents may restore fertility, the future incidence of ectopic pregnancies is more common than normal intrauterine pregnancies. One previous study showed that there were only four pregnancies, including two tubal pregnancies, in 1,436 women who had female genital tuberculosis. This case shows that women with a history of genital tuberculosis should be routinely examined and their pregnancies should be considered as high-risk. (Consumer Summary produced by Reliance Medical Information, Inc.)

Causes of, Tuberculosis, Pregnancy, Abdominal

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Recurrent chlamydial infections increase the risks of hospitalization for ectopic pregnancy and pelvic inflammatory disease

Article Abstract:

Women who have had more than one infection with chlamydia may have an increased risk of hospitalization for ectopic pregnancy and pelvic inflammatory disease (PID). Chlamydia trachomatis is a common sexually transmitted organism. Researchers evaluated data on 11,000 Wisconsin women who were diagnosed with one or more chlamydial infections. Women with two chlamydial infections had twice the risk of being hospitalized for ectopic pregnancy and four times the risk of being hospitalized for PID. Hospitalization risks increased five- to sixfold with three or more chlamydial infections.

Chlamydia infections, Pelvic inflammatory disease

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Combined hysteroscopy and laparoscopy in the treatment of interstitial pregnancy

Article Abstract:

The cases of two women are presented who had an interstitial ectopic pregnancy that was treated using both laparoscopy and hysteroscopy. An ectopic pregnancy occurs when the fertilized egg implants in the Fallopian tubes instead of the uterus.

Care and treatment, Laparoscopic surgery, Hysteroscopy

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