ABSTRACT
El presente estudio se realiza mediante la revisión retrospectiva de 61 historias clínicas de pacientes que fueron admitidas en Sala de Partos del HCAM, con el diagnóstico de Embarazo Ectópico, desde enero de 1990 hasta diciembre de 1992. La edad promedio de las pacientes fue de 30 mas o menos 3.4 años; el número de embarazos fluctúa entre 2 y 3, con el antecedente de abortos anteriores en 22 casos, y del embarazo ectópico previo en 6 pacientes. Entre los signos y síntomas mas frecuentes encontramos el dolor pélvico, la hemorragia vaginal y la amenorrea. Los métodos de diagnóstico más utilizados fueron la ecosonografía, la laparoscopia, culdocentesis y prueba de embarazo. El procedimiento quirúrgico más frecuente realizado fue la salpingectomía total.
Subject(s)
Humans , Female , Adult , Pregnancy, Ectopic/surgery , Pregnancy, Ectopic/diagnosis , Pregnancy, Ectopic/epidemiology , Pregnancy, Ectopic/pathology , Pregnancy, Ectopic/prevention & control , Family Development Planning/methodsABSTRACT
The presence of antibodies to chlamydia trachomatis and to Neisseria gonorrhea were assessed in 30 women, hospitalized in Ain-Shams University Hospital with ectopic pregnancy. Thirty women delivering live full term infants served as controls. The prevalence rate of elevated IgG specific to chlamydia trachomatis [titer >/16] and to Neisseria gonoccoci [titer=64] in subjects with ectopic pregnancy was [30%, 13.3%] respectively. None of the control had positive titer for either organisms. Women who did not have a history of pelvic inflammatory disease [PID] had a higher proportion of chlamydia specific IgG seropositives suggesting that chlamydial PID are mostly asymptomatic. Furthermore, women who did not use intrauterine device [IUD] had a higher proportion of chlamydia-specific IgG seropositive, though not statistically significant, as compared to IUD users suggesting that the inflammatory response following IUD insertion may help in elimination of chlamydial infection in upper genital tract. None of the study or control subjects was positive for HIV antibodies
Subject(s)
Humans , Female , Pregnancy, Ectopic/prevention & controlSubject(s)
Humans , Infant, Newborn , Pregnancy Complications/surgery , Pregnancy Complications/diagnosis , Pregnancy Complications/mortality , Sex , Communicable Diseases/classification , Communicable Diseases/diagnosis , Communicable Diseases/mortality , Pregnancy, Ectopic/surgery , Pregnancy, Ectopic/diagnosis , Pregnancy, Ectopic/prevention & control , Pregnancy Complications/prevention & control , Communicable Diseases/psychology , Communicable Diseases/transmissionABSTRACT
El presente caso reporta la asociación de un embarazo ectópico de ovario derecho que cumple los criterios de Spiegelberg para su diagnóstico relacionado a la presencia de la ruptura del cuerpo lúteo contralateral con hemoperitoneo masivo, motivando una laparotomía de emergencia. El reporte anatomo-patológico diagnosticó gestación en etapa inicial en ovario derecho y ruptura de cuerpo lúteo izquierdo