Facteurs de risque de récidive des grossesses extra-utérines

Bennetot, M. De; Rabischong, B.; Aublet-Cuvelier, Bruno; Belard, Fabien; Fernandez, H.; Bouyer, Jean; Mage, G.; Pouly, Jean-Luc

doi:10.1016/j.jgyn.2011.09.002

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…3 The risk of recurrence varies from 18% to 26% depending on the type of treatment. 4 Authors hereby report a case of tubal pregnancy which recurred after ipsilateral salpingectomy. Some cases have been reported in the literature, but this form of ectopic pregnancy remains rare.…”

Section: Introductionmentioning

confidence: 96%

Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

Ratsiatosika

Romuald

Abasse

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Ectopic pregnancy is a life-threatening condition occurring in 1-2% of all pregnancies. The most common site of implantation for an ectopic pregnancy is the fallopian tube. Authors report a case of recurrent ipsilateral ectopic pregnancy following right partial salpingectomy of a 29-Year-Old woman that led to tubal rupture. The pregnancy was conceived spontaneously. Diagnostic of ruptured ectopic pregnancy was done after clinical and ultrasonography examination. The presence of a massive hemoperitoneum with a positive pregnancy urinary test that lead us to the diagnosis of ectopic pregnancy. She underwent a laparotomy for a suspicion of ruptured ectopic pregnancy. The ectopic pregnancy was identified in the left remnant fallopian tube. Partial salpingectomy, removal of tubal stump, and resection of the uterine cornua, was performed. The postoperative recovery was uneventful. She has stayed for five days at the Hospital. All patients, even though they have already received a definitive contraception by tubal section and ligature or unilateral or by bilateral salpingectomy for any reason, must seek an ectopic pregnancy in case of pelvic pain, vaginal bleeding and/ or amenorrhea. Authors propose to carry a total salpingectomy after a chosen surgical treatment.

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Section: Introductionmentioning

confidence: 96%

Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

Ratsiatosika

Romuald

Abasse

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Risk factors for recurrent ectopic pregnancy: a case–control study

Zhang

Shi

et al. 2016

BJOG

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Objective To study the risk factors for recurrent ectopic pregnancy (REP).Design A retrospective case-control study.Setting A university medical centre.Population 554 women with a history of ectopic pregnancy (EP) were included. Among them were 181 women with current EP, 184 women with current intrauterine pregnancy (IUP) and 189 nonpregnant women (NonP).Methods The three groups were matched at a ratio of 1:1 with respect to current age, age of initial EP and gestational week of initial EP. Socio-demographic characteristics, reproductive history, gynaecological and surgical history, and experience of contraception were compared among the three groups. A multivariable logistic regression analysis was used to adjust for confounders and calculate adjusted odds ratios (AORs). Conclusions Women with history of infertility or salpingotomy should be alert for the recurrence of EP. Multiparous women are less likely to suffer REP. We propose the use of condoms for effective prevention of REP.Keywords Case-control study, contraception, recurrent ectopic pregnancy, risk factors.

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Diagnostic and Therapeutic Management of Ectopic Pregnancies

Fatimetou

Nadia

Wajih

et al. 2022

CWHR

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Background : Ectopic pregnancy is the most common cause of death among women during the first trimester of pregnancy despite the progress made with early diagnonsis. It occurs at a rate of 1 to 2 % that of live births. In Mauritania, EP is a public health issue mostly effecting young women. Objective : to evaluate the diagnosic abilities and the management of EP. Methods: This study is transverse descriptive and was carried out in the maternity of Nouakchott’s teaching hospital. The aim of this study was to provide data on the epidemiological profile, dignosis, management and prognosis of ectopic pregnancy. During the period from May 2013 to April 2014, 44 cases of ectopic pregnancies were collected. The collected data was analysed by means of SPSS version 20, Microsoft Excel 2007. Result: The incidence of EP was 0.99% coefficient to 1 EP per 100 live births. EP management represented 7.3% emergency surgery. The average patient age was 29.84 ± 5.988 years. The most affected age group was the 25-34 year olds (61.4%). Multigravida were more affected with a rate of 80%. Patients with an EP commonly presented with pelvic pain (91% of our patients), late in menstruation (86.3%) and vaginal bleeding (61.3%). Pelvic ultrasound was performed in 41 patient coefficient to 93%. The treatment was surgical by laparotomy in all of the cases. The surgical treatment was radical in 93.2% : Salpingectomy was performed in 86.4% of the cases, adnexectomy was performed in 6.8% of the cases.Conservative treatment was performed in 3 patients : 2 cases of salpingotomy and 1 case of tubal expression. In most cases, the postoperative evolution was simple. Conclusion: Until this day, ectopic pregnancy is a severe disease. despite the progress made with early diagnonsis in many cases the treatment is surgical with all its consequences and especially in the developing countries including mauritania. Improving the therapeutic management is above all improving the diagnostic procedure in a very early period. And for decades we keep saying that ectopic pregnancy: thinking about it often is not thinking enough.

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Facteurs de risque de récidive des grossesses extra-utérines

Cited by 3 publications

References 25 publications

Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

Recurrent ipsilateral ectopic pregnancy after partial salpingectomy: case-report

Risk factors for recurrent ectopic pregnancy: a case–control study

Diagnostic and Therapeutic Management of Ectopic Pregnancies

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