Hydatid of Morgagni: a possible underestimated cause of unexplained infertility

Autor: Salah M. Rasheed, Allam M. Abdelmonem
Rok vydání: 2010
Předmět:
Zdroj: European journal of obstetrics, gynecology, and reproductive biology. 158(1)
ISSN: 1872-7654
Popis: Objective To evaluate the possible role of hydatid of Morgagni in patients with unexplained infertility. Study design This was a non-randomized controlled trial conducted at the Department of Obstetrics and Gynecology of Sohag University, Egypt. Two hundred and thirteen patients with unexplained infertility and hydatid of Morgagni diagnosed at laparoscopy were included. The laterality (bilateral vs unilateral), location (fimbrial vs juxta-fimbrial), number (single vs multiple) and diameter of the hydatids of Morgagni were recorded. Patients were allocated to a study group (n = 127) who underwent laparoscopic excision of hydatid of Morgagni and a control group (n = 86) who underwent no intervention. Patients were followed for six months without any infertility or hormonal treatment to detect spontaneous pregnancy. Patients missed during the follow-up or who received infertility treatment were excluded. Statistical analysis was done using Chi-square test and Student's t-test. To find the most important character of hydatid of Morgagni which impedes pregnancy, logistic regression analysis of the dependent variable (no pregnancy) and independent variables (different characters of hydatid of Morgagni) was carried out in the control group. Results Hydatid of Morgagni was detected in 52.1% of patients with unexplained infertility compared to 25.6% of those with explained infertility (p
Databáze: OpenAIRE