Ectopic pregnancies due to contralateral fistulas after sterilization by electrocoagulation; case reports
| Autor: | J.S. Vanderheyden, S. Jankie, A.Ph. Makar |
|---|---|
| Rok vydání: | 1989 |
| Předmět: |
Adult
medicine.medical_specialty Fistula Sterilization Tubal medicine.medical_treatment Uterus Peritoneal Diseases Electrocoagulation Pregnancy Salpingectomy medicine Humans Laparoscopy Gynecology medicine.diagnostic_test Ectopic pregnancy urogenital system business.industry Obstetrics and Gynecology Fallopian Tube Diseases medicine.disease Pregnancy Ectopic Surgery Endoscopy medicine.anatomical_structure Reproductive Medicine Female business |
| Zdroj: | European Journal of Obstetrics & Gynecology and Reproductive Biology. 33:195-198 |
| ISSN: | 0301-2115 |
| Popis: | Three cases of post-sterilization tubal pregnancy are discussed. The sterilizations were performed by bipolar electrocoagulation. The location of the pregnancy was distal to the site of sterilization. There was no continuity between the segment containing the ectopic pregnancy and the uterus. Spermatozoa reached the site of fertilization via a tuboperitoneal fistula. The existence of the fistulas was confirmed by a methylene blue test. In two cases fistulas existed on the contralateral side to the ectopic pregnancy. In the third case, bilateral fistulas were found. So, on performing a salpingectomy for ectopic pregnancy after sterilization failure, we have to be aware of contralateral fistulas. Also good understanding of the mechanism of extra-uterine pregnancy secondary to transperitoneal migration of spermatozoa is important when doing conservative tubal surgery.3 cases of poststerilization tubal pregnancy are discussed. THese were performed by bipolar electrocoagulation. The location of the pregnancy was distal to the sterilization site and there was no continuity between the segment containing the ectopic pregnancy and the uterus. Spermatozoa reached the fertilization site via a tuboperitoneal fistula. The existence of the fistulas was confirmed by a methylene blue test. In 2 cases, fistulas existed on the contralateral side to the ectopic pregnancy. In the 3rd case, bilateral fistulas were found. Clearly it is necessary to be aware of contralateral fistulas when performing a salpingectomy for ectopic pregnancy after sterilization failure. It is also necessary to have a good understanding of the mechanism of extrauterine pregnancy secondary to transperitoneal migration of spermatozoa when performing conservative tubal surgery. |
| Databáze: | OpenAIRE |
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