Forty patients with tubal ectopic pregnancies seen over an 18 month period are studied. Epidemiological parameters in the three major groups are compared. The diagnostic problems, signs and symptoms are discussed. Aetiological factors in this area are compared with changing trends in other centres. Pelvic inflammatory disease remains an important cause. The role of conservative approach in surg...

A rare clinical case of successful treatment an interrupted ovarian pregnancy (ОР), the incidence which is 0.4– 1.3 % all ectopic pregnancies (ЕР), described. The exact etiopathogenetic mechanism OP development still unknown. rupture mainly occurs in first trimester 91.0 %, second it 5.3 and third it’s 3.7 %. Untimely diagnosis EP ovaries can be fatal with massive bleeding associated risk ovari...

Tubal sterilization is an increasingly common method of contraception. Although pregnancy after sterilization is uncommon, it can occur and may be ectopic. It is widely believed that any pregnancies after tubal sterilization will generally occur during the first year or two year after the procedure. Surprisingly, failures are not limited to the first year or two, but continued to appear at each...

Women with tubal ectopic pregnancies have high levels of circulating interleukin 6 (IL-6). IL-6 treatment in vitro significantly reduces the ciliary activity of tubal epithelium. The effects of IL-6 on target cells occur via the formation of a high-affinity complex with its receptors IL-6Rα and glycoprotein 130 (Gp130). IL-6Rα is specifically expressed in the cilia of the epithelial cells. In t...

Bilateral tubal ectopic pregnancies are rare occurrences. Two recently managed cases are discussed. The first was a single, sexually active 23-year-old nullipara with family history of twinning who presented with eight weeks amenorrhea, positive pregnancy test, lower abdominal discomfort and other clinical and ultrasound findings suggestive of unruptured left tubal pregnancy. Intra-operatively,...