Objectives: Infertility is defined as the lack of pregnancy after one year of sexual contact without using any contraception. The aim of this study was to investigate the association between endometrial thickness (ET) and endometrial pattern with beta-human chorionic gonadotropin (B-HCG) test in women undergoing the induction of ovulation who referred to the infertility clinic of Ali ibn-e Abitalib hospital in Zahedan. Materials and Methods: This cross-sectional study was conducted at Ali ibn-e Abitaleb hospital in Zahedan (Iran) in 2017. The ET and endometrial pattern were estimated using transvaginal sonography and the pregnancy rate was determined based on B-HCG test. Finally, the data were analyzed by SPSS using the Chi-square test and independent t-test. Results: A total of 200 individuals with a mean age of 29.6 ± 5.6 years were evaluated in this study. The negative or positive B-HCG distribution was significantly different in terms of the endometrial pattern (P=0.001) so that 35.3% of women had B-HCG positive cases in the three-line pattern of ET while in the homogenous pattern, 3.3% had B-HCG positive cases. In addition, the pregnancy rate in women with ET greater than 7 mm was significantly higher compared to those women with ET less than 7 mm thickness (35.1% vs. 12.8%, P<0.001). Conclusions: Overall, the results of this study showed a significant correlation between the endometrial pattern and ET and pregnancy rate based on positive B-HCG test.
Introduction:Acute pancreatitis is an acute inflammatory disease of the pancreas characterized clinically by upper quadrant pain and elevated levels of enzymes in the blood. Although The pathogenesis of pancreatitis is not fully understood, gallstone and chronic alcohol abuse is considered for two-thirds or more cases in the united stated. Case Presentation: In this case report, the researchers present a 29-year-old pregnant female G3P2 with 31 w, 2 d of gestational age, who was referring to maternity ward with upper quadrant pain, nausea, and vomiting. Her ultrasound, examination, and blood analysis showed acute pancreatitis due to hyperlipidemia. The patient underwent six plasmapheresis and medical treatment and was discharged with complete cure at 34 weeks of gestational age. Conclusions: Accurate assessment of the incidence and mortality of acute pancreatitis is difficult as mild pancreatitis may be subclinical and deaths may occur before the diagnosis of sever and fulminant attacks. Mortality rate is three percent in patients with interstitial pancreatitis and 17% in patients with pancreatic necrosis.
We present a case of rudimentary horn pregnancy in the 18th gestational week with fetal demise and treatment failure. After failure in pregnancy termination, the patient was admitted to a tertiary care hospital. Following laparatomy, a definitive diagnosis was confirmed. Laparotomy was performed to remove the rudimentary horn and ipsilateral fallopian tube. Overall, physicians should be cautious about the risk of uterine disorders in the event of several failures in terminating pregnancy.
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