Ectopic Pregnancy in King Fahad Hofuf Hospital: A Five Year Experience

Abstract

Out of a total of 45,836 deliveries over a five-year period (1986)(1987)(1988)(1989)(1990), 128 cases of ectopic pregnancy (0.28% incidence) managed during this period was compared with other previously published data in terms of presentation and management. There were no maternal deaths among the cases treated. The age distribution was 16-44 years with higher incidence 46 (36%) occurring in the range of 25-30. One hundred thirty (93%) were multipara. The presenting complaints included pain (100%), vaginal bleeding (78.4%) and amenorrhea (39.8%). The most consistent clinical finding was cervical excitation tenderness (88%). Ultrasonography (88%) and laparoscopy (50%) were adjunctive only to history and physical examination which was found to be most important in the diagnosis. Detection of an adnexal mass separate from the ovaries with or without hemoperitoneum was diagnostic of ectopic pregnancy. One hundred two (79.6%) diagnosed as rupture, 17 (13%) as aborted and five (3.9%) as intact. With the changing picture of ectopic pregnancy, one case each was initially diagnosed as appendicitis, urinary tract infection and anemia and admitted in the medical ward before further review confirmed the diagnosis of ectopic pregnancy. The sites of implantation included 123 in ampulla (96%), one each in ovary, cornual and cervix with two diagnosed as having abdominal pregnancy. The predisposing factors include pelvic inflammatory disease (22.6%), previous ectopic (10.2%) and recent IUCD (9%), but none insitu at the time of ectopic. Our treatment of choice is salpingectomy but 12% had salpingo-oophorectomy for various reasons, while total abdominal hysterectomy was performed for the cervical pregnancy for uncontrollable hemorrhage. BN Ogbonna, A Al-Nemr, M Moghanam, Ectopic Pregnancy in King Fahad Hofuf Hospital: A Five Year Experience. 1992; 12(6): 544-547 A total of 128 cases of ectopic pregnancy were treated over a five year period in King Fahad Hofuf Hospital. The total number of deliveries during this period was 45,836 and the incidence of ectopic pregnancy in the area was 0.28% (2.8/1000 births). No maternal deaths occurred among the cases diagnosed and treated in the hospital during the five years. King Fahad Hospital is the only tertiary center in Al-Hassa and therefore serves a population of approximately 600,000. The aim of this study was to analyze the clinical features, and diagnosis and treatment of all cases encountered in Al-Hassa and comparison, where necessary, of our results with previously published data. Patients and ResultsThe hospital charts of all the patients who were admitted with or diagnosed to have ectopic pregnancy between 15 September 1986 and 22 July 1990G (1 Muharram 1406 and 30 Dhu Al-Hijjah 1410H) were retrieved and reviewed. The relevant information collected from the charts included nationality, parity, age, clinical presentation, treatment, and subsequent follow-up. The anatomical description of the site of implantation was also obtained from During 15 September 1986 and 22 July 1990, ...

The prevalence of Chlamydia trachomatis and Mycoplasma genitalium tubal infections and their effects on the expression of IL-6 and leukaemia inhibitory factor in Fallopian tubes with and without an ectopic pregnancy

“…Studies from Saudi Arabia have also shown that almost 50% of women diagnosed with EP reported a history of PID and/or infertility. 30–33 Unfortunately, discussing sexually transmitted diseases in Islamic nations, especially in Saudi Arabia, is a very sensitive topic and therefore little is known about the role of sexually transmitted microbes in the pathogenesis of EP. 34 However, the few available governmental reports from the kingdom have shown that the annual incidence of chlamydial and gonococcal infections between 1995 and 1999 were 14.8 and 5.2 per 100,000 population, respectively.…”

Aberrant expression of interleukin-6 and its receptor in Fallopian tubes bearing an ectopic pregnancy with and without tubal cytomegalovirus infection

“…EP represents 1-2 % of all pregnancies and causes almost 10 % of all maternal deaths during the first trimester worldwide [18,22,24]. In Saudi Arabia, the reported prevalence of EP is 0.5 % and almost 50 % of cases had a history of pelvic inflammatory disease (PID) and/or infertility [2][3][4]31].…”