A ruptured ectopic pregnancy with contralateral hematosalpinx (Record no. 28072)
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| 000 -LEADER | |
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| fixed length control field | 03304nam a22003377a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240612083931.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240612083931.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240612084717.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240612b |||||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Fuller form of name | Onesmo Augustino |
| 245 ## - TITLE STATEMENT | |
| Title | A ruptured ectopic pregnancy with contralateral hematosalpinx |
| Remainder of title | A case report. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania : |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] : |
| Date of publication, distribution, etc. | 2023 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | Includes References |
| 490 ## - SERIES STATEMENT | |
| Volume/sequential designation | Tanzania Medical Journal, 34(2), 98-107. https://doi.org/10.4314/jascrn72 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract :<br/><br/>Introduction : Extrauterine pregnancy accounts for 1-2% of all pregnancies. Of all extrauterine pregnancies, approximately 95% occur in the fallopian tube. However, the occurrence of bilateral ectopic pregnancy is rare with an incidence of 1 out of 1,589 ectopic pregnancies. The diagnosis and management of bilateral ectopic pregnancy pose a challenge due to its retrospective diagnosis based on Norris criteria and there is no standardized treatment guideline worldwide for its management.<br/><br/>Case presentation : A 28-year-old woman, gravida 3, para 2 living 2 at gestation age of 6 weeks by date and 8 weeks by transvaginal ultrasound presented with sudden onset of sharp right lower quadrant abdominal pain accompanied with vaginal bleeding. Upon evaluation, she was pale, tachycardic with abdominal muscle guarding, rebound tenderness with positive cervical motion tenderness and fullness of posterior fornix. Urine pregnancy test was positive and abdominal-pelvic ultrasound revealed an empty endometrial cavity with the right-side heterogenous ill-defined echo-complex adnexal mass measuring [35x40]mm with free fluid seen in the hepatorenal recess and splenorenal space, left adnexa could not be appreciated. The decision to perform an emergency explorative laparotomy was reached due to an acute abdomen. Intraoperatively, ruptured and actively bleeding right fallopian tube with a gestation sac and hematosalpinx on the left fallopian tube. Bilateral salpingectomy was performed and sent for histologic studies. Histopathological evaluation later revealed a presence of hemorrhage, necrosis, and few remnants of chorionic villi on the right side while contralateral fallopian tube had edematous stroma, congested vessels with accumulation of inflammatory cells features of chronic salpingitis. On the third day post-surgery she was fully recovered and was discharged home.<br/><br/>Conclusion : Diagnosis and treatment of a unilaterally ruptured ectopic pregnancy complicated by contralateral hematosalpinx are difficult. Such patients' care should be tailored to their specific needs, with a focus on their future fertility goals, patient safety, and the availability of necessary resources. |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Ectopic pregnancy |
| General subdivision | Salpingectomy |
| General subdivision | Hematosalpinx |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Dismas Matovelo |
| Fuller form of name | Karoli Jerome |
| Fuller form of name | Goodluck Mlay |
| Fuller form of name | Oscar Ottoman |
| Fuller form of name | Fridolin Mujuni |
| Fuller form of name | Elieza Chibwe |
| Fuller form of name | Richard Kiritta |
| Fuller form of name | Edgar Ndaboine |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://doi.org/10.4314/jascrn72">https://doi.org/10.4314/jascrn72</a> |
| Link text | https://doi.org/10.4314/jascrn72 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | RESEARCH ARTICLES |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
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| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 06/12/2024 | 20240612083931.0 | 06/12/2024 | 06/12/2024 | RESEARCH ARTICLES |