ABSTRACT
A case report of an ectopic pregnancy in a non-communicating, undescended fallopian tube. A rare embryological development-failure is described, consisting of a right hemiuterus, a remotely located noncommunicating left fallopian tube and undescended left ovary associated with agenesis of the left kidney. A noncommunicating fallopian tube should be removed when recognized to prevent ectopic pregnancy.
Subject(s)
Choristoma/diagnosis , Fallopian Tubes , Genital Neoplasms, Female/diagnosis , Pregnancy, Tubal/diagnosis , Adult , Choristoma/surgery , Fallopian Tubes/surgery , Female , Genital Neoplasms, Female/surgery , Humans , Kidney/abnormalities , Pregnancy , Pregnancy, Tubal/surgery , Uterus/abnormalitiesABSTRACT
The files of 186 primiparous women with the diagnosis of fetal-pelvic disproportion were studied in order to depict maternal and fetal parameters determining the course of delivery. Three groups were compared. One group of women who delivered vaginally and two groups, that delivered by caesarean section, one with a dilated orifice and one with a non-dilated orifice. The maternal age, height and pelvic capaciousness as found by clinical examination were registered together with cardiotocography, birth weight, labour augmentation, instrumental delivery, fetal presentation, gestation age and the conjugata vera (measured at caesarian section). It was found that the maternal age and the gestational age were lower in the vaginal delivery group compared to the two caesarean section groups. There was no difference between all three groups with respect to the other parameters. On this basis it was concluded, that it was not possible to identify fetal-pelvic disproportion that would result in caesarean section in primiparous women.
Subject(s)
Delivery, Obstetric , Fetus/anatomy & histology , Pelvimetry , Adult , Cesarean Section , Female , Humans , Infant, Newborn , Parity , Pregnancy , Retrospective StudiesSubject(s)
Pregnancy, Tubal/etiology , Female , Humans , Pregnancy , Pregnancy, Tubal/therapy , Recurrence , Risk FactorsSubject(s)
Pregnancy, Tubal/surgery , Trophoblasts , Adult , Fallopian Tubes/surgery , Female , Humans , Pregnancy , ReoperationSubject(s)
Pregnancy, Ectopic/diagnosis , Adult , Diagnosis, Differential , Female , Humans , PregnancyABSTRACT
PIP: The records of 219 women who were diagnosed with extrauterine pregnancy (WHO class 631.09-631.99) at St. Joseph's Hospital, Esbjerg, Denmark in the period Jan 1973-Jan 1985 were retrospectively evaluated to verify the diagnosis and to determine the type of ectopic pregnancy. The diagnosis of pregnancy had to have been ascertained from histological examination and for primary ovarian pregnancy the description of the operation had to state that both tubes appeared normal. The admission history indicated whether the patient used IUD as contraception. 195 women yielded a population of 211 ectopic pregnancies. The median age was 28.9 years (17-42 years) and the average parity before ectopic pregnancy was 1.2 children/woman. 3 interstitial pregnancies (1.5%), 4 primary ovarian pregnancies (1.9%), 1 primary (.5%), and 1 secondary abdominal pregnancy were found. Of the 4 ovarian pregnancies 3 of the women used spiral IUDs, corresponding to 14.3% ovarian pregnancies among ectopic pregnancies in IUD users. Ovarian pregnancies among non-IUD users was .53%. The risk for ovarian pregnancy among IUD users when they become ectopically pregnant is 27 times greater than among women who do not use a spiral but who become ectopically pregnant. Statistical probability, chi sq. = 5.945, p.05. The reason for the increased incidence of ovarian pregnancy is probably that the IUD prevents intrauterine, and to some extent tubal, pregnancies but not ovarian pregnancies.^ieng
