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...

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Main Authors:	Ng, KS, Fazarina M, Anizah Ali, Shuhaila A, Yulianty Arifuddin, Zainul Rashid Mohd. Razi
Format:	Article
Language:	English
Published:	Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre 2016
Online Access:	http://journalarticle.ukm.my/10246/ http://journalarticle.ukm.my/10246/ http://journalarticle.ukm.my/10246/1/13._ng_et_al..pdf

id	ukm-10246
recordtype	eprints
spelling	ukm-102462017-03-29T09:06:37Z http://journalarticle.ukm.my/10246/ Multiple faces of the same pathology Ng, KS Fazarina M, Anizah Ali, Shuhaila A, Yulianty Arifuddin, Zainul Rashid Mohd. Razi, 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. Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre 2016 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/10246/1/13._ng_et_al..pdf Ng, KS and Fazarina M, and Anizah Ali, and Shuhaila A, and Yulianty Arifuddin, and Zainul Rashid Mohd. Razi, (2016) Multiple faces of the same pathology. Journal of Surgical Academia, 6 (2). pp. 50-54. ISSN 2231-7481 http://jsurgacad.com/toc
repository_type	Digital Repository
institution_category	Local University
institution	Universiti Kebangasaan Malaysia
building	UKM Institutional Repository
collection	Online Access
language	English
description	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.
format	Article
author	Ng, KS Fazarina M, Anizah Ali, Shuhaila A, Yulianty Arifuddin, Zainul Rashid Mohd. Razi,
spellingShingle	Ng, KS Fazarina M, Anizah Ali, Shuhaila A, Yulianty Arifuddin, Zainul Rashid Mohd. Razi, Multiple faces of the same pathology
author_facet	Ng, KS Fazarina M, Anizah Ali, Shuhaila A, Yulianty Arifuddin, Zainul Rashid Mohd. Razi,
author_sort	Ng, KS
title	Multiple faces of the same pathology
title_short	Multiple faces of the same pathology
title_full	Multiple faces of the same pathology
title_fullStr	Multiple faces of the same pathology
title_full_unstemmed	Multiple faces of the same pathology
title_sort	multiple faces of the same pathology
publisher	Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre
publishDate	2016
url	http://journalarticle.ukm.my/10246/ http://journalarticle.ukm.my/10246/ http://journalarticle.ukm.my/10246/1/13._ng_et_al..pdf
first_indexed	2023-09-18T19:56:53Z
last_indexed	2023-09-18T19:56:53Z
_version_	1777406588404891648

Multiple faces of the same pathology

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