Evaluation of serum creatine phosphokinase in diagnosis of tubal ectopic pregnancy compared with intrauterine pregnancy and threatened abortion

Vaginal sonograghy and serial beta-hCG are the most common diagnostic methods for ectopic pregnancy but about 50% of cases are initially misdiagnosed. In tubal pregnancy the zygote lies next to the muscular layer, and this invasion causes an increase in creatine phosphokinase [CPK] in blood. assessment of CPK and its isoenzyme CPK-MB as a diagnostic marker for tubal pregnancy. In this case-control study, 111 women between 16-40 years in first-trimester pregnancy admitted to emergency ward of Rasht Alzahra hospital with abdominal pain or vaginal bleeding were included and according to sonography and beta-hCG divided into 3 groups [N=37]: tubal pregnancy [1], threatened abortion [2] and normal pregnancy [3]. Blood samples were taken for totalCPK and CPK-MB before any invasive procedure. Mean total CPK level were 96.27 +/- 63.9 u/lit [group 1], 55.37 +/- 14.1 u/lit [group 2] and 48.94 +/- 19.2 u/lit [group 3] and was significantly higher in tubal pregnancy compared to other groups. Mean CPK-MB levels in 3 groups were 15.62 +/- 5.2 u/lit, 17.32 +/- 6.9 u/lit, and 15.1 +/- 4.7 u/lit, respectively which was not significant. It seems that determination of total CPK can enhance the diagnostic value of tubal pregnancy

Embarazo heterotópico: tubárico e intrauterino. Presentación de un caso / Heteropic pregnancy: tubaric and intrauterine presentation of a case

Se presenta un caso de embarazo heterotópico. Se revisa la literatura y se hacen recomendaciones para el diagnóstico y tratamiento

Sacroileítis séptica / Septic sacroileitis

Se presentaron dos casos de Sacroiletis séptica, ocurridos en una paciente puérpera y en otra cursando un embarazo de término. Se discuten la epidemiología, clínica, métodos diagnósticos, etiología y tratamiento

Coexistência de gestaçäo tópica e ectópica: aspectos ultra-sonográficos / Coexistent intrauterina and ectopic pregnancy: ultrasonographic manifestations

Os autores descrevem dois casos de concomitância de gestaçäo tópica e ectópica, relatando os aspectos ecográficos e realizando uma breve revisäo de literatura. Enfatizam a necessidade de o ultra-sonografista realizar rotineiramente o estudo das regiöes anexiais em pacientes com gestaçäo tópica e morfologicamente normal

La reaccion de arias-stella: correlacion clinico-patologica de 31 casos / The reaction of arias-stella: clinic and pathologic correlation of 31 cases

Se procede a la revision de 31 casos de material endometrial con diagnostico de areas-stella y se los correlaciona con los datos contenidos en las respectivas historias clinicas, en especial con la presencia de mebarazo eutopico y ectopico, ademas de hormonoterapia.