Open cornual resection versus laparoscopic cornual resection in patients with interstitial ectopic pregnancies

Abdelazim, Ibrahim A.; Shikanova, Svetlana; Zhurabekova, Gulmira; Kanshaiym, Sakiyeva; Karimova, Bakyt; Sarsembayev, Mukhit

doi:10.1016/j.ejogrb.2018.11.010

Cited by 10 publications

(7 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The migration of fertilized oocyte from FT to the uterus is mediated by FT muscles and cilia. Fallopian tube inflammation and/or dysfunction are implicated in oocyte retention and subsequent EP [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment of left tubal pregnancy with foetal cardiac activity using a two-dose methotrexate regimen

Obaid¹,

Abdelazim²,

Abu-Faza³

et al. 2022

View full text Add to dashboard Cite

The incidence of ectopic pregnancy (EP) is about 1.3–2.4%. Approximately 6% of maternal deaths in the first trimester occur following ruptured EP. A 35-year-old lady, G4, P3, pregnant 7 weeks + 2 days, presented with left iliac pain, after positive pregnancy test, and β-human chorionic gonadotropin (β-hCG) 3614 mIU/ml. The transvaginal sonography showed an empty uterus, with a well-defined left adnexal echogenic structure measuring 38×32 mm (left adnexal gestational sac – GS) with foetal pole (bagel sign). The colour Doppler examination showed foetal cardiac activity with circumferential Doppler flow around the GS (ring of fire). She was diagnosed as left undisturbed tubal pregnancy with foetal cardiac activity. She refused the option of laparoscopic surgery. Therefore, she was counselled for medical treatment using methotrexate (MTX). She was also informed that the MTX treatment may fail due to the presence of foetal cardiac activity, and she may need more than one MTX dose. She received the first MTX dose at an initial β-hCG 3614 mIU/ml. The fourth day β-hCG after the first MTX dose was 5421 mIU/ml, while the seventh day β-hCG was 5055 mIU/ml [< 15% decrease of β-hCG (6.75%)]; therefore, she was given a second MTX dose. The fourth day β-hCG after the second MTX dose was 3851 mIU/ml, while the seventh day β-hCG was 2218 mIU/ml [> 15% decrease of β-hCG (42.4%)]; therefore, she was discharged home for follow-up in the outpatient department. This report represents the treatment of left undisturbed tubal pregnancy with foetal cardiac activity using a two-dose MTX regimen.

show abstract

Section: Introductionmentioning

confidence: 99%

Treatment of left tubal pregnancy with foetal cardiac activity using a two-dose methotrexate regimen

Obaid¹,

Abdelazim²,

Abu-Faza³

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The IEP sonographic findings include an empty uterus with an eccentrically placed gestational sac, located >1 cm from the endometrial margin and bordered by <5 mm myometrial rim [ 7 ]. The interstitial line (IL) is an echogenic line that extends from the gestational sac to the endometrial margin and represents the interstitial part of the FT (IL has 80 % sensitivity for diagnosing IEP) [ 8 ].…”

mentioning

confidence: 99%

Regarding cornual pregnancy as a rare entity of ectopic pregnancy: A case report

Donayeva,

Abdelazim,

Amanzholkyzy

2024

International Journal of Surgery Case Reports

Self Cite

View full text Add to dashboard Cite

“…The current version of William's Obstetrics describes the cornual pregnancy as a conception that develops in the rudimentary horn of a uterus with a Müllerian anomaly [Figures 1 and 2]. [5]…”

mentioning

confidence: 99%

“…The diagnosis of interstitial pregnancy can be challenging in some cases, and the missed diagnosis of interstitial pregnancy may result in life-threatening internal hemorrhage. [5]…”

mentioning

confidence: 99%

See 1 more Smart Citation

Successful Procedure in Conservative Management of Interstitial (Cornual) Ectopic Pregnancy

Kanshaiym¹,

Zhurabekova²,

Abdelazim³

et al. 2019

Gynecol Minim Invasive Ther

Self Cite

View full text Add to dashboard Cite

Open cornual resection versus laparoscopic cornual resection in patients with interstitial ectopic pregnancies

Cited by 10 publications

References 4 publications

Treatment of left tubal pregnancy with foetal cardiac activity using a two-dose methotrexate regimen

Treatment of left tubal pregnancy with foetal cardiac activity using a two-dose methotrexate regimen

Regarding cornual pregnancy as a rare entity of ectopic pregnancy: A case report

Successful Procedure in Conservative Management of Interstitial (Cornual) Ectopic Pregnancy

Contact Info

Product

Resources

About