ABSTRACT
OBJECTIVE: To determine intrauterine and ectopic pregnancy rates after local instillation of 50% glucose into unruptured tubal pregnancies. DESIGN: Retrospective cohort of 183 patients, who were observed for 16 to 108 months (median, 64 months). SETTING: University hospital. PATIENT(S): One hundred eighty-three women who underwent laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancies. INTERVENTION(S): Completion of questionnaires. MAIN OUTCOME MEASURE(S): Pregnancy rate, tubal recurrence rate. RESULT(S): A total of 124 women returned the questionnaire and had a desire for spontaneous conception. The conception rate and the intrauterine pregnancy rate were 79% and 73%, respectively. Seventy percent of all women with desire for spontaneous conception had live births. The rate of subsequent ectopic pregnancies was 12%. Tubal patency of the treated tube was demonstrated in 69% of 39 women at hysterosalpingography. CONCLUSION(S): The long-term prognosis for conception after laparoscopic instillation of hyperosmolar glucose for unruptured tubal pregnancy is favorable and comparable to that of other conservative treatments.
Subject(s)
Glucose Solution, Hypertonic/therapeutic use , Laparoscopy , Outcome Assessment, Health Care , Pregnancy, Tubal/therapy , Adult , Cohort Studies , Female , Humans , Pregnancy , Pregnancy Rate , Prognosis , Retrospective Studies , Surveys and QuestionnairesABSTRACT
We describe a previously unknown congenital abnormality of the lymphatic system, characterized by multiple cystic lesions of the lower extremities and thorax. Diagnosis was made by ultrasound in the second trimester. The ultrasound findings, pathology results, and differential diagnosis are presented.
