Bilateral spontaneous tubal ectopic pregnancy is the rarest form of extra uterine pregnancy. The diagnosis is usually made intraoperatively and levels of serum BHCG and ultrasound has not been useful in the diagnosis of bilateral tubal ectopic pregnancy.A 33-year-old woman with 8 weeks amenorrhea and sever lower abdominal pain was admitted. A transvaginal pelvic ultrasound revealed left adnexal...

March 2010 Ectopic pregnancy is a major health problem for women of childbearing age and a leading cause of pregnancy-related death in the first trimester. Untreated, ectopic pregnancy can lead to massive hemorrhage, infertility and death. With the advent of high-resolution transvaginal sonography, in conjunction with serum assays for the ß-subunit of human chorionic gonadotropin (ß-hCG), rapid...

Serum progesterone measurement has been advocated as a diagnostic tool in the non-invasive diagnosis of ectopic pregnancy. To assess the accuracy of a single serum progesterone measurement in the diagnosis of ectopic pregnancy, a meta-analysis was performed incorporating 26 studies evaluating the performance of single serum progesterone measurement in the diagnosis of ectopic pregnancy. A disti...

pregnancy implantation within the scar of a previous cesarean delivery is one of the rarest locations for an ectopic pregnancy. early diagnosis of this condition with the use of ultrasound imaging allows for preserving the uterus and subsequent fertility. however, a delay in either diagnosis or treatment can lead to uterine rupture, hysterectomy and significant maternal morbidity. with increasi...

abdominal pregnancies are very uncommon and are misdiagnosed in half of the cases. we describe a case of abdominal pregnancy, which was misdiagnosed as pregnancy in a bicornuate uterus.the patient underwent operation urgently because of unstable hemodynamics. the spontaneously separated placenta and its bleeding site in the douglas pouch were seen. we could not use sutures for hemostasis so, th...

The incidence of ectopic pregnancy after assisted reproductive technology is increased approximately 2.5-5-fold compared with natural conceptions.Strategies were used to decrease the incidence of ectopic pregnancy, but ectopic pregnancy still occurs. In the present study, women were selected with decreased ovarian reserve (defined as FSH > 10 IU/L) aged 20 to 38 years who underwent IVF-ET betwe...

background: measurement of serum β-hcg concentration commonly used to diagnose tubal ectopic pregnancy (ep) and follow up patients treated conservatively.objective: the aim of this study was to determine the predictive value of maternal serum β-hcg concentration in ruptured tubal ectopic pregnancy to help physicians identify those women who are at greatest risk.materials and methods: this is a ...

Considering the increasing trend for ectopic pregnancies in the world and different reports on its complications and the fate of the following pregnancies, this study was performed to determine the relationship between these factors in referrals of the hospitals of Shaheed Beheshti University of Medical Sciences from 1991 to 1996. The cohort strategy of this research study was carried out on 2...

The reported incidence of ectopic pregnancy after bilateral salpingectomies is very low. We present a 31-year-old woman, who had an ectopic pregnancy after bilateral salpingectomies for previous ectopic pregnancies. A high index of suspicion for pregnancy is prudent to avoid missing an ectopic pregnancy despite a history of bilateral salpingectomies. Not all cases of ectopic pregnancies present...