Interstitial pregnancy following homolateral salpingectomy

Simpson, John; Alford, Charles D.; Miller, Alexandre

doi:10.1016/s0002-9378(16)36210-x

Cited by 26 publications

(10 citation statements)

References 16 publications

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“…The individual treatments after the Vicryl loop failure were as follows: [1] systemic MTX injection and [2] TVS-guided MTX and KCl injection to the amniotic sac and then systemic MTX injection. The treatments after the diagnostic laparoscopy misdiagnosis were as follows: [1] TVS-guided MTX and KCl injection, and then a surgical laparoscopy that was performed by using a Vicryl loop and [2] hysteroscopic MTX injection to the amniotic sac. The mean overall length of hospitalization was 7.1 days.…”

Section: Resultsmentioning

confidence: 99%

“…Risk factors for cornual pregnancy include past pelvic inflammatory disease, previous pelvic surgery, uterine anomalies, the use of assisted reproductive techniques, and ipsilateral salpingectomy. Ipsilateral salpingectomy is a risk factor that is unique to cornual pregnancy (2). Cornual pregnancy is associated with major diagnostic pitfalls, because it is diagnosed relatively late and presents a diagnostic challenge.…”

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confidence: 99%

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Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases

Soriano

Vicus

Mashiach

et al. 2008

Fertility and Sterility

104

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases

Soriano

Vicus

Mashiach

et al. 2008

Fertility and Sterility

104

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“…We postulate that recanalization (Kalchman and Meltzer, 1966) is the likely mechanism here, with the production of a narrow lumen, sufficient to allow the passage of spermatozoa but not of a fertilized ovum. The other five patients showed implantation proximal to the operative site, suggesting the formation of a tuboperitoneal fistula (Simpson et d., 1961), which permitted the passage of an ovum into the tube where it was subsequently fertilized. Why it should then fail to reach the uterine cavity is uncertain, but a possible mechanism is tubal kinking due to adhesions.…”

Section: Discussionmentioning

confidence: 99%

Tubal Pregnancy After Sterilization

Chakravarti

Shardlow

1975

BJOG

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Summary Twelve cases of tubal pregnancy after sterilization operations are reported and the pathogenesis is discussed. Diagnosis is sometimes delayed because of the history of previous sterilization. It is paradoxical that the diagnosis of an intra‐uterine pregnancy after tubal sterilization is rarely in doubt yet the possibility of the fertilized ovum implanting in a tube known to have been damaged is some‐times overlooked. It is suggested that bilateral salpingectomy is the correct opera‐tive treatment for this condition.

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“…Interstitial pregnancy, also known as cornual pregnancy, accounts for 2–4% of all ectopic pregnancies . Risk factors include a history of pelvic inflammatory disease, Müllerian anomalies, use of assisted reproductive technologies, and previous ipsilateral salpingectomy, which is unique to this type of extrauterine pregnancy .…”

Section: Introductionmentioning

confidence: 99%

Interstitial pregnancy management and subsequent pregnancy outcome

Sagiv

Debby

Keidar

et al. 2013

Acta Obstet Gynecol Scand

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We report on management and subsequent fertility outcome of interstitial pregnancy in a retrospective cohort study (Canadian Task Force classification II-3) at a university affiliated teaching hospital. Of 706 women with extrauterine pregnancy, 14 consecutive women with interstitial pregnancy were treated by methotrexate, laparotomy or laparoscopy between 1997 and 2007. The first four women, with significant hemoperitoneum, were treated by laparotomy. Of the next 10 women, four were selected for medical treatment with methotrexate. Only one case was treated successfully. The other six women had laparoscopic treatment. Of nine laparoscopies, one was converted to laparotomy due to excessive blood loss during the procedure. Of nine women desiring a child, three were infertile, whereas six conceived with an intrauterine pregnancy. A change from diagnosis later in pregnancy and laparotomy to more conservative treatment, mainly by laparoscopy, suggests a possibly better subsequent pregnancy rate.

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Interstitial pregnancy following homolateral salpingectomy

Cited by 26 publications

References 16 publications

Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases

Laparoscopic treatment of cornual pregnancy: a series of 20 consecutive cases

Tubal Pregnancy After Sterilization

Interstitial pregnancy management and subsequent pregnancy outcome

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