Regulation of Integrin β3 Protein Secretion on Implantation Embryo of Mouse (Mus musculus L.) Induced by Oil Atsiri of Purple Nutsedge Tubers (Cyperus rotundus L.)

Aims: This study aims to determine the regulation of β3 integrin protein in the period of embryo implantation after being induced by oil atsiri of purple nutsedge tubers. Study Design: The study employed a completely randomised design using four concentration levels repeated six times. Place and Duration of Study: Organic Chemistry Laboratory and Zoology Laboratory of Faculty of Mathematics and Natural Sciences University of Lampung, between June 2015 and April 2016. Methodology: This study used mouse as experimental animals with 24 female mouse, then mated with male mouse with a ratio (1 female: 1 male). After the vaginal plug was found in female mouse, then the essential oil of purple nutsedge tubers was induced orally (force-fed) according to the treatment dose. Each 6 female mice were grouped as a control group, and 3 treatment groups, consisting of controls (C) = 0.4 ml aquabides, treatment 1 (T1) = 4.5 mg/40g body weight, treatment 2 (T2) = 45 mg/40g body weight, and treatment 3 (T3) = 135 mg/40g body weight. After the one way Anova test, Ho is rejected, meaning there are significant differences and the analysis is continued with multiple comparison tests, in this case the Least Significant Difference (LSD) test is used. Results: The results shown that the induction of essential oils of purple nutsedge tubers can reduce the level of β3 integrin protein in uterus mouse significantly. Conclusion: It is suggested essential oil of purple nutsedge tubers has potential decrease and can reduce the level of β3 integrin protein in uterus mouse during the period of embryo implantation.

Multiple Faces of the Same Pathology

Ectopic pregnancy is defined as an extrauterine pregnancy. We report three cases where the ectopic pregnancies were implanted in different sites. The first case was a 28-year-old in her second pregnancy at 9 weeks gestation. She presented with painless vaginal bleeding. Ultrasound showed unruptured cornual pregnancy with hCG level of 7456mIU/ml. A single dose of 75mg IM methorexate was given and she responded well with significant reduction of hCG level. The second case, a 26-year-old gravida 5 para 2+2, with 2 previous ectopic pregnancies and bilateral salpingectomy, conceived via in-vitro fertilization (IVF). She presented with acute abdomen and one episode of syncope at 8 weeks 4 days gestation. Laparotomy showed ruptured ectopic pregnancy at the left tubal stump requiring a left salpingectomy. The third case was a 26-year-old, gravida 5 para 2+2, with two previous vaginal deliveries and two previous first trimester miscarriages. Her menses was irregular since she took injectable progestin. She presented to the emergency department with sudden onset of lower abdomen pain. Urine pregnancy test was positive. Ultrasound showed empty uterus, no adnexal mass but there was significant free fluid in the cul-de-sac. During laparoscopy, a ruptured ovarian pregnancy was diagnosed and salpingo-oophorectomy performed. There was no significant risk factor contributing to ectopic pregnancy identified in the first and third case. In the second case, despite previous bilateral salpingectomy, the patient still had ectopic pregnancy in the left fallopian tube remnant.

Anti N-Methyl-D-Aspartate Receptor Encephalitis with Ovarian Teratoma: A Dilemma in Diagnosis

We report a rare case of altered mental status in a young patient with immature ovarian teratoma. A 22-year-old woman presented with seizures, hallucination, amnesia and orofacial dyskinesia. Examination and investigation revealed an ovarian massand asalphing-oophorectomy was performed. The histopathological examination result showed an immature teratoma grade 2 with thepresence of immature primitive glial tissue. Her CSF N-Methyl-DAspartic acid receptor (Anti-NMDAR) antibodytest was positive. N-Methyl-D-Aspartic acid receptor antibody associated limbic encephalitis is an autoimmune antibody-mediated neuropsychiatric disorder. Resection of the tumour and immunotherapy resulted in full recovery.

A Case Report of Ectopic Fibroid: Vaginal Leiomyoma

We hereby report a rare case of a woman who presented with symptoms of urogenital prolapse and menorrhagia. She was erroneously diagnosed to have cervical mass and underwent examination under anesthesia and was found to have only a vaginal leiomyoma. The fibroid was enucleated successfully through a vaginal incision. We discuss the rare case.