Laparoscopic diagnosis and treatment of interstitial ectopic pregnancy: a case report

Article Abstract:

An ectopic pregnancy is the implantation of the fertilized egg outside of the uterus, which most frequently occurs in the fallopian tubes. One of the most rare locations for an ectopic pregnancy is the interstitial tissue, which is in the uterine wall where the oviduct begins. A case is described of a 25-year-old woman with a history of ectopic pregnancies who developed amenorrhea (absence of menstruation), but steady bleeding without pain. She had elevated levels of human chorionic gonadotropin (beta-hCG), a hormone released during pregnancy. The patient underwent laparoscopy, which is the surgical examination of the abdomen, including the uterus, with a tube-like device consisting of an optical system called a laparoscope. An ectopic pregnancy was detected within the uterine wall, and was removed. The patient had no complications related to the procedure when she was examined eight months after the operation. Ectopic pregnancies that do not occur in the fallopian tubes account for less than 5 percent of all ectopic pregnancies, but are responsible for 20 percent of maternal deaths due to ectopic pregnancies. Interstitial pregnancies are difficult to diagnose because the symptoms are nonspecific. Ultrasonography, a technique in which sound waves are used to visualize internal structures; laparoscopy; and measurement of beta-hCG levels may help to detect an ectopic pregnancy in interstitial tissue. (Consumer Summary produced by Reliance Medical Information, Inc.)

Care and treatment, Usage, Case studies, Pregnancy, Complications of, Pregnancy complications, Laparoscopy

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Efficacy of frozen-section evaluation of uterine curettings in the diagnosis of ectopic pregnancy

Article Abstract:

Frozen tissue sample analysis done at the time of surgery appears to identify patients with ectopic pregnancies more quickly than conventional testing methods. An ectopic pregnancy is one located outside of the uterus, usually in the Fallopian tubes. Uterine lining samples from 87 women with possible ectopic pregnancies were tested with both frozen section analysis at the time of surgery and conventional tissue analysis. The frozen section technique was accurate in 93.1% of the samples. There were more false-negative results than false-positive results. All of the doctors doing the testing were equally accurate.

Endometrium, Endometrial biopsy

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Comparability of perioperative morbidity between abdominal myomectomy and hysterectomy for women with uterine leiomyomas

Article Abstract:

Abdominal myomectomy is as safe as hysterectomy for the treatment of uterine fibroids. During abdominal myomectomy, the fibroids are surgically removed but the uterus remains intact and is not removed. In a study of 394 women who had either procedure, the outcomes were similar in both groups.

Health aspects, Surgery, Leiomyoma, Hysterectomy, Uterine fibroids

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