Transvaginal and three-dimensional ultrasound diagnosis of twin tubal pregnancy

Abstract

The intrinsic chemistry of imidazolium‐based room‐temperature ionic liquids, related to the acidity of the C‐2 imidazolium cation, can be modified via cathodic cleavage of the C‐2/hydrogen bond. N‐Heterocyclic carbenes, electrogenerated by electrolysis of imidazolium‐based room‐temperature ionic liquids, are stable bases that are strong enough to deprotonate bromoamides 1a–k yielding the azetidin‐2‐one ring via C‐3/C4 bond formation. The electrosynthesis of β‐lactams 2a–k has been achieved under mild conditions, elevated yields and avoiding the use of toxic, volatile, molecular solvents.

Laparoscopic management of a ruptured unilateral live twin ectopic pregnancy in a Jehovah's Witness

“…In our case, however there were no identifiable risk factors for ectopic pregnancy. With the advent of high-resolution trans-vaginal, 3D ultrasound and Dopplers, the diagnosis of unilateral twin ectopic pregnancy is easier and can be made prior to rupture (Gabrielli et al 2006). Ultrasound findings include demonstration of ectopic tubal ring with presence of live embryo within; hold 100% specificity as in our case.…”

Unilateral canlı ikiz ektopik gebelik: olgu sunumu

“…Today, diagnosis of unilateral twin ectopic pragnancy is much easier with the use of three-dimensional ultrasound, Doppler ultrasound, high-resolution TVUSG. Diagnosing before rupture rate has increased (13). The expected level of ß-hCG may be higher than usual in multiple ectopic pregnancy (14).…”