MyMedR

Notes on a case of coincident intra-uterine extra-uterine gestation

MANDAL KK, MITRA SK

Med J Malaya, 1960 Sep;15:10-4.

PMID: 13766047

Matched MeSH terms: Pregnancy, Ectopic*

Chronic ectopic pregnancy--a challenge in diagnosis

Menon R

Med J Malaysia, 1973 Dec;28(2):88-90.

PMID: 4276222

Matched MeSH terms: Pregnancy, Ectopic/diagnosis*; Pregnancy, Ectopic/etiology

Fulltext Ectopic pregnancy: uncommon presentations and difficulty in diagnosis

Wong CM, Ganesh R, Ng KY

Med J Malaysia, 1999 Mar;54(1):117-9.

PMID: 10972015

Diagnosis of ectopic pregnancy prior to rupture is an arduous task even with the availability of many new investigative methods and imaging modalities. Above all, a high index of suspicion is necessary when dealing with women who present in early pregnancy with abdominal pain and vaginal bleeding. With the increased use of ovulation induction agents, the probability of heterotropic pregnancy should be kept in mind. The use of transvaginal ultrasonography (TVS) will help in earlier diagnosis because of its advantages over transabdominal ultrasonography (TAS).

Matched MeSH terms: Pregnancy, Ectopic/diagnosis*; Pregnancy, Ectopic/surgery; Pregnancy, Ectopic/ultrasonography

Ectopic pregnancy--a study of 77 cases

Lim MA

Med J Malaysia, 1974 Mar;28(3):171-5.

PMID: 4278064

Matched MeSH terms: Pregnancy, Ectopic/diagnosis*; Pregnancy, Ectopic/etiology; Pregnancy, Ectopic/surgery

A Narrow Escape From Methotrexate: The Importance of Correlating Ultrasound Findings With Discriminatory Level of β-hCG and the β-hCG Ratio

Lim JA, Sheng KL, Chong SE

J Ultrasound Med, 2019 08;38(8):2237-2238.

PMID: 30536687 DOI: 10.1002/jum.14899

Matched MeSH terms: Pregnancy, Ectopic*

Ectopic pregnancy in Malaya

Sambhi JS

Med J Malaya, 1967 Jun;21(4):344-51.

PMID: 4230502

Matched MeSH terms: Pregnancy, Ectopic/epidemiology*

Ruptured ectopic pregnancy presenting as an irreducible inguinal hernia

Prasannan S, Jabar MF, Gul YA

Acta Chir. Belg., 2004 Oct;104(5):591-2.

PMID: 15571031

An inguinal hernia that suddenly becomes irreducible may be secondary to a variety of other underlying conditions which can occasionally mislead the attending surgeon. Benign, inflammatory or neoplastic processes, as well as surgical emergencies such as intraperitoneal or retroperitoneal haemorrhage, have all been previously reported to mimic an inguinal hernia that suddenly becomes irreducible with or without clinical features of strangulation. We add an additional interesting presentation to this list in the form of a ruptured ectopic pregnancy, which is the first such case reported in the literature. A swelling in the groin may be much more complicated than it seems on superficial consideration and good clinical acumen is constantly required in managing such cases if a satisfactory outcome without any morbidity is to be expected.

Matched MeSH terms: Pregnancy, Ectopic/diagnosis; Pregnancy, Ectopic/surgery

Fulltext Co-existing tubal ectopic pregnancy and appendicitis--a case report

Chia P, Jeyarajah A

Med J Malaysia, 1996 Dec;51(4):485-7.

PMID: 10968040

Appendicitis in pregnancy has a well documented high morbidity due to the difficulty in diagnosis. However, synchronous ectopic pregnancy and appendicitis is a rare event. This report describes the case of a 22-year-old lady of Bangladeshi origin who presented with both these conditions. The importance of prompt diagnosis and early surgical intervention, the inherent difficulties in diagnosis and the possible interrelated aetiological factors are discussed.

Matched MeSH terms: Pregnancy, Ectopic/pathology; Pregnancy, Ectopic/surgery

Fulltext A case of tubal ectopic pregnancy

Muthupalaniappen L, Tong SF, Hazizi H, Hamidon AH

Malays Fam Physician, 2006;1(1):25-6.

PMID: 26998206 MyJurnal

A healthy 27 year old Para 3 presenting with abnormal menstruation without a period of amenorrhoea was diagnosed to have left tubal ectopic pregnancy after vaginal examination and abdominal ultrasonography. The case illustrates the need for careful history taking and the need for considering ectopic pregnancy in women in the reproductive age group, who have abnormal menstruation even if they are on contraception.

Matched MeSH terms: Pregnancy, Ectopic*

Primary abdominal pregnancy: review of the literature and a report of three cases

Sinha RK

Med J Malaya, 1970 Dec;25(2):108-12.

PMID: 4251130

Matched MeSH terms: Pregnancy, Ectopic/diagnosis

Fulltext Cesarean scar pregnancy: What can we offer?

Ng BK, Lim PS, Ahmad S, Kampan NC, Abdul Karim AK, Omar MH

Taiwan J Obstet Gynecol, 2015 Apr;54(2):208-10.

PMID: 25951734 DOI: 10.1016/j.tjog.2014.11.022

Matched MeSH terms: Pregnancy, Ectopic/drug therapy; Pregnancy, Ectopic/etiology; Pregnancy, Ectopic/ultrasonography*

Fulltext Peritoneal trophoblastic implant

Rachagan SP, Kutty K, Govindan KS

Med J Malaysia, 1997 Sep;52(3):293-4.

PMID: 10968101

A case of persistent trophoblastic tissue on the pelvic peritoneum is presented. While most cases are secondary to conservative surgery for tubal ectopic pregnancy, primary implantation can also occur as highlighted by this case. A brief pathophysiology of the condition is presented. The importance of monitoring the serum for beta subunit human chorionic gonadotrophin (HCG) is emphasised.

Matched MeSH terms: Pregnancy, Ectopic/etiology*

Fulltext Clomid induced combined extrauterine and intrauterine pregnancy--a case report

Ng YT, Wong WP, Puraviappan AP

Med J Malaysia, 1983 Jun;38(2):150-2.

PMID: 6621446

A 23 year old Indian lady, gravida 1 para 0, with Clomid induced pregnancy was admitted to the University Hospital on 29 August 1981 with signs and symptoms of pregnancy and intraperitoneal bleed. Period ofamenorrhoea at time of admission was eight weeks. Emergency laparotomy revealed a right leaking ectopic pregnancy and an enlarged gravid uterus. Ultrasound done on the 7th post operative day confirmed concurrent intrauterine pregnancy which progressed normally to term, ending with a normal healthy baby at 39 weeks through an assisted breech delivery.

Matched MeSH terms: Pregnancy, Ectopic*

Fulltext Primary ovarian pregnancy: a case report

Goh JYL, Rachagan SP, Low EC

Med J Malaysia, 1987 Mar;42(1):70-1.

PMID: 3431507

A case of an ovarian ectopic pregnancy is
presented. The diagnosis was made at laparotomy.
Histology of the surgical specimen confirmed a
primary ovarian pregnancy. The aetiologic factors
and diagnostic criteria are discussed.

Matched MeSH terms: Pregnancy, Ectopic/pathology*

Fulltext A Landscape View of the Female Genital Tract Microbiome in Healthy Controls and Women With Reproductive Health Conditions Associated With Ectopic Pregnancy

Teh HE, Pung CK, Arasoo VJT, Yap PSX

Br J Biomed Sci, 2023;80:12098.

PMID: 38283642 DOI: 10.3389/bjbs.2023.12098

Disruption of the female genital microbiome is associated with several pregnancy complications, including miscarriage, preterm onset of labour, and tubal pregnancy. Ectopic pregnancy is a known cause of maternal morbidity and mortality, but early diagnosis and treatment of ectopic pregnancy remain a challenge. Despite growing established associations between genital microbiome and female reproductive health, few studies have specifically focused on its link with ectopic pregnancy. Therefore, the current review aims to provide a comprehensive account of the female genital microbiome in healthy and fertile women compared to those in ectopic pregnancy and its associated risk factors. The microbial diversity from various sites of the female genital tract was explored for a reliable proxy of female reproductive health in sequencing-based ectopic pregnancy research. Our report confirmed the predominance of Lactobacillus in the vagina and the cervix among healthy women. The relative abundance decreased in the vaginal and cervical microbiome in the disease state. In contrast, there were inconsistent findings on the uterine microbiome across studies. Additionally, we explore a spectrum of opportunities to enhance our understanding of the female genital tract microbiome and reproductive conditions. In conclusion, this study identifies gaps within the field and emphasises the need for visionary solutions in metagenomic tools for the early detection of ectopic pregnancy and other gynaecological diseases.

Matched MeSH terms: Pregnancy, Ectopic*

Fulltext Evaluation of treatment of previous cesarean scar pregnancy with methotrexate: a systematic review and meta-analysis

Salari N, Kazeminia M, Shohaimi S, Nankali AA, Mohammadi M

Reprod Biol Endocrinol, 2020 Nov 09;18(1):108.

PMID: 33168010 DOI: 10.1186/s12958-020-00666-0

BACKGROUND: Previous caesarean scar pregnancy is one type of ectopic pregnancy in myometrium and fibrous tissue of previous caesarean scar. One of the therapeutic methods of this type of ectopic pregnancy is treatment with methotrexate. Given various findings on the treatment of caesarean scar pregnancy with methotrexate and lack of global report in this regard, we aimed to achieve a global report on the treatment of CSP with methotrexate through related literature review and analysis of the results of the studies, to enable more precise planning to reduce complications of CSP.

METHOD: This review study extracted information through searching national and international databases of SID،, Embase, ScienceDirect, ، Scopus, ، PubMed, Web of Science (ISI) between 2003 and January 2020. To perform the meta-analysis, random-effects model and heterogeneity of the studies with I2 index were investigated. Data were sanalysed using Comprehensive Meta-Analysis version 2.

RESULTS: In total, 26 articles with a sample size of 600 individuals were enrolled in the meta-analysis. According to the results of the study, the mean level of β-hCG was 28,744.98 ± 4425.1 mIU/ml before the intervention and was 23,836.78 ± 4533.1 mIU/ml after the intervention. The mean intraoperative blood loss (ml) was 4.8 ± 3.76 ml, mean hospital stay (days) was 11.7 ± 1.2 days, mean time for serum-hCG normalization (days) was 41.6 ± 3.2 days, success was 90.7% (95% CI: 86.7-93.5%), and complication was 9% (95% CI: 6.3-12.8%).

CONCLUSION: The results of the current study show methotrexate significantly reduces β-hCG levels and can be effective in treating caesarean scar pregnancy and its complications.

Matched MeSH terms: Pregnancy, Ectopic/drug therapy*; Pregnancy, Ectopic/etiology; Pregnancy, Ectopic/epidemiology

Fulltext Delayed diagnosis of cervical pregnancy: management options

Sivalingam N, Mak FK

Singapore Med J, 2000 Dec;41(12):599-601.

PMID: 11296786

Cervical pregnancy is an uncommon variety of ectopic gestation. The aetiology is obscure. Diagnosis can be missed unless early evaluation is done by experienced personnel utilising pelvic ultrasonography. Three cases of cervical pregnancy managed at this hospital are described illustrating difficulties in early diagnosis and possible association with previous uterine scar and prior curettage of the uterus for retained products of conception. Treatment options vary according to the clinical state of the patient at the time of diagnosis. Non-surgical methods including systemic methotrexate administration in one and surgical evacuation of products of conception with subsequent cervical cerclage in another are discussed. Surgical interventions like total abdominal hysterectomy with internal iliac artery ligation to arrest life-threatening pelvic haemorrhage is also described. Other treatment options include potassium chloride (KCl) alone or in combination with methotrexate.

Matched MeSH terms: Pregnancy, Ectopic/diagnosis; Pregnancy, Ectopic/therapy*; Pregnancy, Ectopic/ultrasonography*

Case report of ruptured non-communicating right rudimentary horn pregnancy: an acute emergency

Hassan CH, Karim AK, Ismail NA, Omar MH

Acta Medica (Hradec Kralove), 2011;54(3):125-6.

PMID: 22250483

Ruptured pregnancy in the rudimentary horn of women who have had a vaginal delivery is rare and unpredictable. However, when undiagnosed, this condition could lead to maternal morbidity and mortality. We report a pregnancy at 19 weeks gestation presented with acute abdomen and hypovolemic shock. She was initially thought to have an intrauterine pregnancy with the provisional diagnosis of a ruptured uterus. Intraoperatively, a ruptured non-communicating right rudimentary horn with ex utero pregnancy was discovered.

Matched MeSH terms: Pregnancy, Ectopic/diagnosis*; Pregnancy, Ectopic/surgery

Term interstitial pregnancy with uterine conservation

Ng PH, NorAzlin MI, Nasri NI

Int J Gynaecol Obstet, 2007 Dec;99(3):251.

PMID: 17888439

Matched MeSH terms: Pregnancy, Ectopic/drug therapy*; Pregnancy, Ectopic/pathology

Laparoscopic management of 53 cases of cornual ectopic pregnancy

Ng S, Hamontri S, Chua I, Chern B, Siow A

Fertil Steril, 2009 Aug;92(2):448-52.

PMID: 18930204 DOI: 10.1016/j.fertnstert.2008.08.072

To present our experience of laparoscopic management of cornual ectopic pregnancy.

Matched MeSH terms: Pregnancy, Ectopic/diagnosis; Pregnancy, Ectopic/surgery*

Displaying publications 1 - 20 of 33 in total