Histomorphology of fallopian tubes in ectopic pregnancy

Ravindra, Savithri; Prasad, Sruthi; Suguna, B V

doi:10.4103/2321-4848.196190

Cited by 3 publications

(7 citation statements)

References 1 publication

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“…As the tubercles enlarge, they erode through the mucosa and discharge contents into the lumen. The mucosal inflammation leads to progressive scarring with plica distortion 1 . Even if tubercles are not present in the given sections, the presence of caseation, fibrosis, or calcification in a fallopian tube necessitates a more thorough study to rule out TB.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, it is important to thoroughly examine the fallopian tube to identify the features of chronic salpingitis in all resected tubal ectopic specimens. SIN is often bilateral, usually seen as a result of post inflammatory distortion of the fallopian tube with diverticula of tubal epithelium into the muscular layer 1,3 . Inflammatory tubal disease may be associated with SIN ipsilaterally or contralaterally.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of ectopic pregnancy in developed countries is about 19.7/1000 pregnancies and that in India is 3.12/1000 pregnancies. 1 Risk factors like previous ectopic pregnancy, tubal corrective surgery, tubal sterilization, intrauterine devices, documented tubal pathology, infertility, assisted reproductive techniques, PID, smoking, prior abortions, multiple sexual partners and prior delivery have been implicated in the development of the ectopic pregnancy. 2,3,4 A knowledge of the associated risk factors helps identify women at higher risk in order to facilitate early and more accurate diagnosis.…”

Section: Introductionmentioning

confidence: 99%

“…2,3,4 A knowledge of the associated risk factors helps identify women at higher risk in order to facilitate early and more accurate diagnosis. The most common site for ectopic pregnancy is fallopian tubes (90-95%) 1 . Most risk factors are associated with risks of prior damage to the Fallopian tube.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

clinico-histopathological study of ectopic pregnancy in a tertiary care hospital with special focus on histomorphology of fallopian tubes in tubal ectopic pregnancy

Sharma¹,

Shah²,

Shah³

et al. 2022

ijhs

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Introduction: Ectopic pregnancy can present as an acute life‑threatening emergency when it ruptures and accounts for about 10% of all maternal mortalities; therefore, it is imperative to diagnose the unruptured ectopic pregnancy such that timely intervention will prevent morbidity and mortality. The fallopian tube is the most common site for ectopic pregnancy (90-95%). With an increasing incidence of ectopic pregnancy worldwide, a histopathological study of the resected fallopian tubes becomes important to look for predisposing/associated findings such as acute salpingitis, chronic salpingitis and salpingitis isthmica nodosa (SIN). Objectives: The aim was to study the clinical presentation of ectopic pregnancy and its association with various factors like age and gravida status. It also aims to study the histomorphology of the fallopian tubes with ectopic gestation and note the presence of predisposing factors such as acute salpingitis, chronic salpingitis and SIN. Materials and Methods: A total of 79 specimens of ectopic pregnancy received in Department of Pathology for a retrospective period of 2.5-years from January 2019 to May 2021 were reviewed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

clinico-histopathological study of ectopic pregnancy in a tertiary care hospital with special focus on histomorphology of fallopian tubes in tubal ectopic pregnancy

Sharma¹,

Shah²,

Shah³

et al. 2022

ijhs

View full text Add to dashboard Cite

show abstract

“…The definitive result is provided by the pathology department which may describe chorionic villi in the wall of the tube, confirming the presence of an ectopic gestation. It may also describe inflammation and distortion of plicae, and modifications consistent with chronic salpingitis [14].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Heterotopic Pregnancy with Unaffected Intrauterine Pregnancy: Systematic Review of Clinical Outcomes

et al. 2020

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Background and objective: Spontaneous heterotopic pregnancy (SHP) is a rare condition represented by the synchronous coexistence of an intrauterine and an ectopic pregnancy. It rarely occurs with natural conception and is usually a consequence of assisted reproductive techniques. Diagnosis of SHP can be a challenge for the clinician. The evolution of the intrauterine pregnancy is dependent on many factors, such as the location of the heterotopic pregnancy, gestational age at the time of diagnosis, the surgical procedure, the presence of other risk factors, early or delayed management. The aim of this systematic review of the literature was to extract existing evidence on spontaneous heterotopic pregnancy with otherwise unaffected intrauterine pregnancy. Materials and Methods: From a total of 1907 database entries identified in PubMed, EMBASE and Cochrane reviews, we selected 18 papers for narrative synthesis, for which we explored the diagnostic options, treatment, and outcome of these extremely rare epidemiologic occurrences. Manuscripts were assessed using the CARE guidelines for reporting case reports. Results: The main symptom was abdominal pain, and the preferred treatment approach was surgical, more precisely, using a laparoscopic approach. Most cases presented no risk factors, and the diagnosis was mostly made in the first semester. Conclusions: Normal follow-up and evolution of intrauterine pregnancy have been observed regardless of surgical approach (open or laparoscopic). Early diagnosis and treatment are advised, as they impact maternal and fetal outcomes. Evidence on this topic is scarce, predominantly comprised of case reports with variable degrees of adherence to dissemination guidelines. More studies on this topic are required to optimize care protocols for this type of pregnancy.

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Laparoscopic management of ectopic pregnancy: An observational study from North Kashmir

Shah

Khanday

Mushtaque³

et al. 2019

Saudi J Laparosc

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Histomorphology of fallopian tubes in ectopic pregnancy

Cited by 3 publications

References 1 publication

clinico-histopathological study of ectopic pregnancy in a tertiary care hospital with special focus on histomorphology of fallopian tubes in tubal ectopic pregnancy

clinico-histopathological study of ectopic pregnancy in a tertiary care hospital with special focus on histomorphology of fallopian tubes in tubal ectopic pregnancy

Spontaneous Heterotopic Pregnancy with Unaffected Intrauterine Pregnancy: Systematic Review of Clinical Outcomes

Laparoscopic management of ectopic pregnancy: An observational study from North Kashmir

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