DOCSLIB.ORG

Ruptured Ovarian Pregnancy- a Rare Case Report 1 2 3 4 Shabina Khan , Sonika Dahiya , H.K

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Ruptured Ovarian Pregnancy- a Rare Case Report 1 2 3 4 Shabina Khan , Sonika Dahiya , H.K International Journal of Current Medical And Applied Sciences, 2015, August, 7(3),189-190. CASE REPORT Ruptured Ovarian Pregnancy- A Rare Case Report 1 2 3 4 Shabina khan , Sonika Dahiya , H.K. Premi & Sarita 1Assistant professor, 2Post Graduate Student, 3Professor and HOD, 4Senior Resident. Department of Obstetrics and Gynecology, Rohilkand Medical College and Research Centre, Bareilly [UP], India-243006. ----------------------------------------------------------------------------------------------------------------------------- ----------------------- Abstract: Ovarian pregnancy refers to an ectopic pregnancy that is located in the ovary. We report a rare case of a ruptured ovarian pregnancy. A 24 years old, G₃P₂₊₀L₂ was admitted with amenorrhea of 4 months with chief complaints of severe acute abdominal pain.UPT was positive.USG revealed right sided adenexal mass of about 6.5×4.75 cm. Emergency laparotomy was done and a diagnosis of ruptured ovarian pregnancy was made. Keywords: Ovarian pregnancy, intrauterine devices, laparotomy, pathology. Introduction: Ovarian pregnancies are rare-the vast majority of postpartum complications. Her 2nd pregnancy was 6 ectopic pregnancies occur in the fallopian tube, only months back, term vaginal delivery at hospital, no about 0.15-3% of ectopics occur in ovary [1]. Primary intrapartum and postpartum complications. No history ovarian pregnancy is a rare entity, the diagnosis of of contraceptive use. which continues to challenge the practicing clinicians. On GPE: Patient was in shock. pallor ++, pulse 104/min, Since the first case reported by St. Maurice in 1689, BP 90/50 mmHg, On abdominal examination, many cases have been reported in the literature. tenderness was present in lower abdomen, more on Heartig estimated that ovarian pregnancy occurs in one right side. Per speculum examination, the vagina and in 25,000- 40,000 pregnancies. Ovarian ectopic cervix were normal, culdocentesis was done, which was pregnancy after natural conception ranges from 1 in negative. Per vaginal examination revealed normal 2000 to 1 in 60,000 deliveries and accounts for 3 % of uterine size and cervical motion tenderness was all ectopic pregnancies [2,3,4]. One in every 9 ectopic present and a palpable tender mass was felt in the right pregnancies among intrauterine device (IUD) users is fornix of about 7X7 cm. On investigation, the urine an ovarian pregnancy [5,6]. We present here a rare case pregnancy test was positive, Hb% was 8.2 gm%, total of ruptured ovarian pregnancy. leucocyte count was 10,800/cu mm, platelet count was Case Report: 2.6 lakh and the blood group was A positive Urine A 24 year old, G₃P₂₊₀L₂, came to our hospital with pregnancy test was positive. On ultra sonography, no amenorrhea of 4 months with complaints of sudden gestational sac was seen in utero but a right sided onset of pain in the lower abdomen. History of UPT was adnexal mass was seen of about 6.5cm X 4.75 cm seen done at home 1⅟₂ month back, which was negative, and free fluid in the cul-de-sac. Provisional diagnosis patient was lactating. Her last child birth was 6 month was unruptured ectopic pregnancy. Emergency back. Her previous cycles were regular with 3-4 days of laparotomy was performed. bleeding in every 30 days, average flow and no Intraoperatively, the uterus was normal in size and dysmenorrhea. Her first pregnancy was 2 years back, both the tubes were found to be normal. term vaginal delivery at hospital, no intrapartum and Address for correspondence: Dr. Shabina khan Access this Article Online Assistant Professor, Department of Obstetrics and Gynecology, Rohilkand Medical College and Research Centre, Website: Bareilly [UP],India-243006. Email: [email protected] www.ijcmaas.com How to cite this article: Subject: Shabina khan , Sonika Dahiya, H.K. Premi & Sarita; Ruptured Ovarian Pregnancy- A Rare Case Report; International Journal of current MedicalSubject: Sciences Medical and Applied sciences; 2015, 7(3), 189-190. Medical Sciences Quick Response Code IJCMAAS,E-ISSN:2321-9335,P-ISSN:2321-9327. Page | 189 Shabina khan , Sonika Dahiya, H.K. Premi & Sarita Intraoperatively, the uterus was normal in size and both the tubes were found to be normal. The size of both ovaries was normal. A mass measuring 7X7 cm was adhered to the right ovary and fimbrial end. The right fallopian tube was found completely normal and separate from the ovary. Figure 1: Hemorrhagic ovarian mass Figure 2: Histopathology shows evidence of chronic Villi The hemorrhagic ovarian mass was completely any of the classical risk factors for ectopic pregnancy. excised and was sent for histopathological When we are suspecting a ruptured tubal pregnancy, examination with a provisional differential diagnosis intraoperative finding of normal tubes should alert us of ruptured ovarian pregnancy. Her postoperative to keep an ovarian pregnancy in mind. Early diagnosis recovery was uneventful. and prompt treatment can allow for conservative Histopathology shows evidence of chorionic villi surgery and preserve the future fertility of the patient. embedded in mass arising from right ovary, normal lining of fallopian tubes were noted. References: Discussion: 1. Nwanodi O, Khulpateea N. The preoperative Histologically, the diagnosis has been made by diagnosis of primary ovarian pregnancy; Natl Med Spiegelberg Criteria on the surgical specimen of the Assoc. 2006, 98 (5):796-8. removed ovary and tube. However, the tube and ovary 2. Hertig AT. Discussion of Gerin-Lojoie L. Ovarian are not usually removed as sonography allows for pregnancy. Am J Obstet and Gynecol. 1951;62:920. earlier diagnosis and surgeons strive to preserve the 3. Scutiero G,Di Gioia P, Spada A, Greco P. Primary ovarian pregnancy and its management. JSLS. ovary. Prior to the introduction of Spiegelberg’s 2012;16:492-494. criteria in 1878, the existence of ovarian pregnancy 4. Odejinmi F,Rizzuto MI,MacRae R,Olowu O,Hussain was in doubt, his criteria helped to identify the ovarian M.diagnosis and laparoscopic management of 12 pregnancy from other ectopics [7]. ocnsecutive cases of ovarian pregnancy and review The gestational sac is located in the region of the of literature.J Minim invasive Gynecol.2009;16:354- ovary. The gestational sac is attached to the uterus by 359. the ovarian ligament. 5. Hallet JG.Primary ovarian pregnancy. A case report Ovarian tissue is histologically proven in the wall of of 25 cases.Am J Obstet Gynecol.1982;143(1):55-60. the gestational sac. The oviduct on the affected side is 6. Grimes H,Nosal RA,Gallagher JC. Ovarian Pregnancy.A series of 24 cases.Obstet intact (this criteria however not true for a longer Gynecol.1983;61:174-180. ongoing ovarian pregnancy). 7. Spert H.Otto Spiegelberg and his criteria of Ovarian pregnancy,in Obstetric and gynecologic milestones. Conclusion: The MacMillan Company,New York,1958.255. Ovarian pregnancy is difficult to diagnose. Primary -------------------------------------------------------------- ovarian pregnancy may occur without the presence of Logic Publications @ 2015, IJCMAAS, E-ISSN: 2321-9335,P-ISSN:2321-9327. Page | 190 .
Load more

Recommended publications
  • Viable Ovarian Pregnancy: Case Report
    MOJ Women’s Health Case Report Open Access Viable ovarian pregnancy: case report Abstract Volume 4 Issue 1 - 2017 Ovarian pregnancy is a rare variable of ectopic pregnancy with an incidence is 1-3% 1,2 1 of all ectopic pregnancies. It still remains a diagnostic challenge. As the ovarian Ahmed Altraigey, Wael Naeem, Omar 1 2 3 pregnancy clinical presentation is similar to that of tubal one, and an accurate Khaled, Mufareh Asiri, Abdullah Asiri, ultrasound diagnosis is someway controversial, the surgical diagnosis is frequently Mohammed Hussein2 made and confirmed by histo-pathological examination. We are presenting the data of 1Department of Obstetrics and Gynecology, Benha University, two cases of viable ovarian pregnancies presented with hemodynamic instability that Egypt required immediate laparotomies. Both cases needed unilateral salpingo-oophrectomy. 2Department of Obstetrics and Gynecology, Armed Forces These clinical scenarios stresses on the necessity of starting early antenatal care and Hospitals Southern Region, Saudi Arabia having a routine transvaginal first trimester ultrasound. Also clear evidence based 3Department of Obstetrics and Gynecology, King Khalid guideline for ovarian pregnancy management should be initiated using the best University, Saudi Arabia available data on the literature. Correspondence: Ahmed Altraigey, Department of Obstetrics Keywords: ectopic pregnancy; ovarian pregnancy; laparotomy and Gynecology, King Faisal Military City, base villa 9, Khamis Mushayt, 61961, Kingdom of Saudi Arabia - 43 Benha-Zagazig Street, Mansheyet Elnoor, Benha, 13511, Arab Republic of Egypt, Egypt, Tel +966544854232, +201060885050, Email [email protected]; ahmed.abdelfattah@fmed. bu.edu.eg Received: December 18, 2016 | Published: January 03, 2017 Introduction hemoglobin (Hb) of 10.5gm/dl.
    [Show full text]
  • Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3Rd Ed
    Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3rd ed. Thomas F. Baskett Index More Information Index abdominal palpation in pregnancy, American Birth Control League, 365 The Anatomy of the Human Gravid 322–3 American College of Obstetricians and Uterus (William Hunter), 198 Leopold’s manoeuvres, 238–9 Gynecologists, 191, 332 Anatomy of the Nervous System abdominal surgery American College of Surgeons, 61 (Klumpke), 222 Cherney incision, 81 American Gynecological Society, 33, Andrews, Charles James, 56 Maylard incision, 267–8 73, 109, 114, 121, 177, 195, 218, Andrews, Mason, 57 Penrose drain, 315–16 263, 297–8, 314, 357, 363, 391–2, Andrews, William, 57 Pfannenstiel incision, 318 397, 426, 450 androblastoma, 380 Smead–Jones suture, 393 American Journal of Obstetrics,22 antenatal care, 20–1 Aberdeen Maternity and Neonatal American Journal of Obstetrics and antenatal corticosteroids and neonatal Databank, 17 Gynecology, 120, 297 respiratory distress, 241–3 abortion, 17 American Medical Association, 121, Antenatal Pathology and Hygiene: The backstreet abortion, 365 210, 391 Embryo and Foetus (Ballantyne), habitual abortion in the second American registries of 20 trimester, 385–6 chorionepithelioma and rare antepartum haemorrhage, 252–3 therapeutic abortion, 50–1, 202 ovarian tumors, 298 causes, 342–4 Abrégé de L’art des accouchemens American Roentgenological anterior asynclitism, 248 (Le Boursier du Coudray), 98 Association, 67 anterior pituitary necrosis, 383–4 abruptio placentae, 100, 114,
    [Show full text]
  • Contents More Information
    Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3rd ed. Thomas F. Baskett Table of Contents More Information Contents Image Credits xv About the Author xvii Preface xix Acknowledgements xx Aburel, Eugen Bogdan 1 Bandl, Ludwig 21 Continuous Epidural Analgesia Bandl’s Contraction Ring Alcock, Benjamin 2 Barcroft, Joseph 22 Alcock’s (Pudendal) Canal Fetal Physiology Aldridge, Albert Herman 2 Bard, Samuel 23 Aldridge Sling First American Obstetric Text Allen, Edgar and Doisy, Edward Adelbert 4 Barker, David James Purslove 24 Oestrogen Barker Hypothesis Apgar, Virginia 5 Barnes, Robert and Neville, Apgar Score William 26 Barnes–Neville Forceps Arias-Stella, Javier 7 Arias-Stella Reaction Barr, Murray Llewellyn 28 Barr Body (Sex Chromatin) Aschheim, Selmar and Zondek, Bernhard 8 Bartholin, Caspar 29 Aschheim–Zondek Pregnancy Test Bartholin’s Glands Asherman, Joseph 10 Barton, Lyman Guy 30 Asherman’s Syndrome Barton’s Forceps Aveling, James Hobson 11 Basset, Antoine 32 Aveling’s Repositor Radical Vulvectomy Ayre, James Ernest 12 Battey, Robert 33 Ayre’s Spatula Battey’s Operation Baer, Karl Ernst Ritter von 14 Baudelocque, Jean-Louis 34 Human Ovum/Germ Layer Theory Baudelocque’s Diameter Baillie, Matthew 15 Behçet, Hulusi 35 Ovarian Dermoid Cyst Behçet’s Syndrome Baird, Dugald 16 Bennewitz, Heinrich Gottleib 36 Birth Control/Perinatal Epidemiology Diabetes in Pregnancy Baldy, John Montgomery and Webster, John Bevis, Douglas Charles Aitchison 38 Clarence 18 Amniocentesis in Rhesus Baldy–Webster Uterine Ventrosuspension Isoimmunisation Ballantyne, John William 20 Bird, Geoffrey Colin 39 Vacuum Extraction Antenatal Care v © in this web service Cambridge University Press www.cambridge.org Cambridge University Press 978-1-108-42170-6 — Eponyms and Names in Obstetrics and Gynaecology, 3rd ed.
    [Show full text]
  • (Clinical Protocols…Fin Rev3:Clinical
    Clinical Protocols…fin rev3:Clinical Protocols…fin rev3 30/10/07 10:35 Page 1 CLINICAL PROTOCOLS in OBSTETRICS and GYNECOLOGY TURRENTINE THIRD EDITION JOHN E TURRENTINE The first edition of Clinical Protocols in Obstetrics and Gynecology (published in 2000) quickly became known as ‘the tan book’ and was used as a definitive reference by physicians and other health-care practitioners, residents, and students alike. With the topics in simple alphabetical order, the layout made it easy to locate solutions to everyday clinical problems and to ensure that everyone in an office or hospital team worked consistently. Now enlarged, revised, and updated in a third THIRD EDITION CLINICAL PROTOCOLS in edition, the book retains and enhances the straightforward layout, flow charts, and OBSTETRICS CLINICAL PROTOCOLS in simple presentation of relevant statistics that made its previous editions an international bestseller and includes some further illustrations also. OBSTETRICS and This up-to-date and authoritative Ob/Gyn compilation should help anyone pass the ACOG written or Oral Board examinations and be invaluable for use as a quick- reference while practicing Obstetrics and Gynecology. GYNECOLOGY FROM REVIEWS OF PREVIOUS EDITIONS: A strong point of this edition is the wide range of topics that are covered. Not only and are all the subspecialties represented, but medically related topics, including primary care medicine, are also included. Fertility and Sterility GYNECOLOGY There is a lot of groundwork behind these seemingly simple rules… it certainly is a valuable contribution to this particular category of medical literature… It will be of use to specialists in hospitals and private practice, residents, students and the nursing staff.
    [Show full text]
  • An Alternative Treatment for the Ovarian Ectopic Pregnancy
    Journal of Women’s Health and Gynecology Case Report Open Access An Alternative Treatment for the Ovarian Ectopic Pregnancy Luke Chatburn, Reesha Sanghani* Vanderbilt University School of Medicine, Obstetrics and Gynecology, Nashville, TN 37232 *Corresponding author: Reesha Sanghani, Obstetrics and Gynecology, Vanderbilt Women’s Health, Suite 27100, 719 Thompson Lane, Nashville, TN 37204, Tel: 615-936-1113; Fax: 615-936-1106; Email: Reesha.sanghani@van- derbilt.edu Received Date: February 20, 2015; Accepted Date: May 06, 2015; Published Date: May 08, 2015 Citation: Luke Chatburn, et al. (2015) An Alternative Treatment for the Ovarian Ectopic Pregnancy. J Womens Health Gyn 1: 1-2 Abstract Background: Ectopic pregnancies account for 1% of pregnancies, and 98% of those are tubal. This report describes an intra- ovarian ectopic pregnancy and a novel method of removing it to maximize future ovarian function and fertility in a young patient. Case: This patient presented as a tubal ectopic pregnancy on ultrasound imaging. On laparoscopy, an ovarian ectopic preg- nancy was diagnosed and was extracted from the ovary after a linear incision over the sac. Uniquely, no ovarian tissue was removed. The patient made a full recovery and became pregnant within a year. Conclusion: Ovarian ectopic pregnancies are rare and can present as tubal pregnancies. In contrast to prior case reports, they may be removed successfully from the ovary while preserving the complete ovary. Introduction Given the range of cases reported in the literature [5], both in- Ectopic pregnancy is familiar to most practitioners, despite its tra- and extra-ovarian, it is apparent that two distinct entities relative rarity.
    [Show full text]
  • Ovarian Pregnancy: a Case Report
    Proceedings S.Z.P.G.M.I vol: 14(2) 2000, pp. 109-110. Ovarian Pregnancy: A Case Report Maimoona Ashraf, Ahmed Waseem Yousaf Department of Obstetrics and Gynaecology, King Edward Medical College, Lady Willingdon Hospital, Lahore. SUMMARY Primary ovarian pregnancy represents 3 % of all ectopic gestations with an incidence of I :7000 to I :40, 000 deliveries. It is associated with patients of high fecundity and in women having an JUCD. Preoperative diagnosis is often difficult. Conservative surgical treatment is feasible and important in preserving future fertility. Here we report a case of primary ovarian pregnancy in a 25 years old G3P2+0 with focus on early diagnosis and timely intervention. Ectopic pregnancy was suspected on the basis of amenorrhoea, irregular vaginal bleeding and pain lower abdomen along with raised serum JJ-hCG level and no gestational sac in uterus on USG. Laparoscopy was done. Right primary ovarian ectopic was seen. Spiegelberg criteria was met. Conservative surgical ovarian resection with reconstruction of remaining ovarian tissue was done. Postoperative period was uneventful. Patient conceived an intrauterine pregnancy one year later. INTRODUCTION Patient presents usually with nonspecific signs and symptoms of ectopic pregnancy with rimary ovarian pregnancy is one of the rarest haemoperitoneum that requires emergency surgery. P type of extrauterine pregnancy. Since the first Initial diagnosis being made intraoperatively and recorded instance in 1682, a number of patient final diagnosis by histopathology. reports have appeared. Combining statistics, the Here we report a case of intact primary ovarian incidence of true ovarian pregnancy appears to be in pregnancy to illustrate the fact that high index of the range of 1-3% of all ectopic gestations, with a clinical suspicion along with quantitative serum 13- frequency of one in 7000 to one .in 40,000 hCG levels, empty uterus on USG and laparoscopy deliveries1 .
    [Show full text]
  • 015. BANU DANE Web Sayfasi
    Perinatal Journal • Vol: 13, Issue: 2/June 2005 125 An Ovarian Pregnancy with Delivery of a Live Infant Banu Dane1, Cem Dane1, Murat Yayla1, Ahmet Çetin1, Salih Dural1, Ahmet Tarlac›2 1Clinics of Gynecology and Obstetrics, Haseki Training and Research Hospital, ‹stanbul 2Department of Pathology, Haseki Training and Research Hospital, ‹stanbul Abstract Ovarian ectopic pregnancy occurs very rarely. Most of them are terminated before reaching viability. Failed termination at early pregnancy, and repeated failed labor induction especially if the fetus has an abnormal lie or an abnormal presentation are the most important signs. By our case the findings at ultrasonography were like an abdominal pregnancy at 32 weeks’ gestation. At laparotomy the diagnosis of ovarian pregnancy was made and a live female infant, weighing 1400g was delivered. After salp- ingoophorectomy, the patient made an uneventful recovery. Keywords: Ovarian pregnancy, laparotomy, ultrasonography, abdominal pregnancy. Canl› do¤umla sonuçlanan over gebeli¤i Ovaryen ektopik gebelik oldukça nadirdir. Bu gebeliklerin ço¤u viabilite s›n›r›na gelmeden sonland›r›lmaktad›r. Erken gebelikte baflar›s›z sonland›rma, ve özellikle prezentasyon anomalisi olan vakalarda tekrarlayan baflar›s›z do¤um indüksiyonu en önemli bul- gulard›r. Bizim vakam›zda ultrasonografi bulgular› 32 haftal›k abdominal gebelik ile uyumlu idi. Laparotomi s›ras›nda overyen gebelik tan›s› koyuldu ve 1400 g a¤›rl›¤›nda canl›, k›z bebek do¤urtuldu. Hastam›z, salpingooforektomi sonras› sorunsuz bir post- operatif dönem geçirmifltir. Anahtar Sözcükler: Over gebeli¤i, laparotomi, ultrasonografi, abdominal gebelik. Background been reported as examples of ovarian pregnancy 3 The reported incidence of ovarian ectopic preg- reaching viability.
    [Show full text]
  • Controversies in Obstetrics Obstetrics, Gynecology & Infertility (Cogi)
    OCTOBER 18TH WORLD CONGRESS ON 24-27, 2013 VIENNA CONTROVERSIES IN AUSTRIA OBSTETRICS, GYNECOLOGY & INFERTILITY (COGI) Editor Z. Ben-Rafael MONDUZZI EDITORIALE | PROCEEDINGS 18TH WORLD CONGRESS ON CONTROVERSIES IN OBSTETRICS, GYNECOLOGY & INFERTILITY (COGI) ISSN 2283-964X ISBN 978-88-6521-069-7 CD-Rom ISSN 2284-0370 CD-Rom ISBN 978-88-6521-070-3 DOI 10.12894/COGI/20131024 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or internet communication system or transmitted in any form, or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission, in writing, from the publisher. © Copyright 2014 Monduzzi Editoriale S.r.l. Monduzzi Editoriale Via B. Eustachi, 12 – 20129 Milano – Italy Phone (+) 39-02-20404031 – Fax (+) 39-02-20404044 www.monduzzieditore.it e-mail: [email protected] Layout: Gianluca Pasquetto Printed in February 2014 by EB.O.D. – Milano – Italy IV October 24-27, 2013 • Vienna, Austria Contents Preface ................................................................................................................. XIII INFERTILITY AND ART ........................................................................................ 1 The Relationship between the Number of LH Receptor and the Success of Oocyte Maturity in the Process of in Vitro Maturation ....................................... 3 A. Amansyah, M. Anwar, Y.H. Febrianto A Survey of Lymphocyteimmunization Therapy in Repeated Unexplained IVF Failure Patients from 2010-2012 of Sarem Women’s Hospital, Iran ................ 11 A.T. Saremi, M. Golnavaz, M. Sanaye Naderi, F. Mohammad Alaiha, N. Hakak Low-Level 45,X/46,XX Mosaicism up to 10% of Aneuploidy in Women Undergoing IVF Procedure Seems Not To Be Associated with a Higher Prevalence of Congenital Cardiovascular Disease and Thoracic Aorta Dilatation: a Prospective Cardiovascular Magnetic Resonance Study ..................
    [Show full text]
  • Digestive System and Abdomen
    DIGESTIVE SYSTEM AND ABDOMEN DIGESTIVE SYSTEM Goodsall's Rule Softening of the vaginal part of the cervix during the first trimester Rare condition when pain occurs due to transposition of a loop of large intestine (usually Chilaiditi transverse colon) in between the diaphragm and the liver, visible on plain abdominal X-ray or chest Syndrome X-ray INTUSSUSCEPTION Dance's Sign Empty RLQ (retracted right iliac fossa) APPENDICITIS Aaron's Sign Epigastric pain with pressure on McBurney's point GI TRACT Dunphy Sign Increase in abdominal pain on coughing Markle Sign RLQ pain on dropping from standing on toes to heels 2/3 of the way lateral on a line from umbilicus to anterior superior iliac spine (corresponds to Mc Burney’s Point junction of vermiform appendix and cecum) Tenderness in the right lower quadrant increases when the patient moves from the supine position Rosenstein's Sign to a recumbent posture on the left side Rovsing's Sign Palpation of LLQ elicits pain in RLQ Sherren's Triangle Area of hyperaesthesia over the right lower abdomen Hampton's Line Line on barium meal indicating mucosal oedema associated with ulcer LIVER Councilman Body eosinophilic globules in liver An inclusion found in the cytoplasm of liver cells. Mallory bodies are damaged intermediate Mallory Body filaments within the hepatocytes BILIARY Boas' Sign Dermal hyperaesthesia at inferior angle of R scapula Courvoisier's Law Palpable gall bladder w/ painless jaundice unlikely to be cholelithiasis ACCESSORY Charcot's Jaundice, fever and chills, RUQ pain Cholangitis
    [Show full text]
  • Subjects Index
    Detailed Index for Dr.Murali Bharadwaz’s E-Learning Material www.medicoselearning.com In Association with Medico Abroad, Hyderabad, AP, India. Index For E-Learning Content Sno Subject Page No 1 ENT 1 2 Pathology 7 3 Microbiology 20 4 Psychiatry 28 5 General Medicine 32 6 Dermatology 50 8 Pharmacology 51 9 Physiology 63 10 Biochemistry 78 11 Anatomy 86 12 Ophthalmology 93 13 Gynecology 97 14 Obstetrics 101 15 SPM 106 16 Pediatrics 113 17 Orthopedics 119 18 Forensic Medicine 121 19 Surgery 128 7 Anesthesia 148 20 Radiology 149 21 MCQ 169 ENT Content Of Dr. Murali Bharadwaz's E-Learning Material ENT Mock Test Topic Lecture Duration Size (MB) AIIMS ENT Lec-01 0:43:17 147 Lec-02 0:47:00 160 Lec-03 0:33:44 115 ENT Test 444 Lec-01 0:38:23 131 Lec-02 0:39:17 134 Lec-03 0:25:56 89 ENT Notes ENT Notes No. of Pages = 118 Subscribe through Medicos E-Learning www.medicoselearning.com (in association with Medico Abroad, Hyderabad, AP, India) www.medicoabroad.in E-mail:[email protected] Content Of Dr. Murali Bharadwaz's E-Learning Material Page 1 Subject Name Lecture Lecture Content Lecture File Number Duration Size ENT Lec 01 External acoustic meatus 0:40:46 139 Tympanic Membrane Pars Tensa Pars Flaccida Layers of Tympanic Membrane Middle Ear Round window or the fenestra Cochleae Mastoid Antrum Eustachian(Pharyngotympanic) Tube Tympanic Cavity Ossicles of the Middle Ear Ossicles Lec 02 Tensor tympani 0:37:45 129 Stapedius Tympanic Plexus Frey's syndrome Chorda Tympani Nerve The Internal Ear Bony Labyrinth Semicircular canals
    [Show full text]
  • Primary Ovarian Ectopic Pregnancy
    Biotech Health Sci. 2017 February; 4(1):e41605. doi: 10.17795/bhs-41605. Published online 2017 February 11. Case Report Primary Ovarian Ectopic Pregnancy: A Case Report Fatemeh Samiee-Rad,1 Mahsa Ziaee-Ardestani,2,* Mehri Kalhor,3 and Bahare Keshavarzi4 1Department of Pathology, Metabolic Diseases Research Center, Qazvin University of Medical Sciences, Qazvin, Iran 2Department of Pathology, Tehran University of Medical Scienes, Tehran, Iran 3Kowsar Hospital, Qazvin University of Medical Sciences, Qazvin, Iran 4Velayat Clinical Research Development Unit, Qazvin University of Medical Sciences, Qazvin, Iran *Corresponding author: Mahsa Ziaee-Ardestani, Department of Pathology, Tehran University of Medical Scienes, Kosar Hospital, Talagani Street, Central Lab, Tehran, Iran. Tel: +98-2812236378, Fax: +98-2812236378, E-mail: [email protected] Received 2016 August 23; Revised 2016 December 10; Accepted 2017 January 04. Abstract Introduction: Ectopic pregnancy is a serious health problem that leads to maternal mortality and morbidity. The current article was based on the record of a female patient with primary ovarian ectopic pregnancy. Case Presentation: The patient was a 28-year-old female with regular previous menstrual cycle and without using any contracep- tion method. She presented with right lower abdominal pain and amenorrhea. Transvaginal sonography findings revealed a gesta- tional sac in the right ovary. Finally,primary ovarian ectopic pregnancy was diagnosed by laparotomy and confirmed by histopathol- ogy. Conclusions: To prevent
    [Show full text]
  • Primary Ovarian Pregnancy a Rare Clinical Entity: a Case Report
    International Journal of Reproduction, Contraception, Obstetrics and Gynecology Yadav ST et al. Int J Reprod Contracept Obstet Gynecol. 2013 Sep;2(3):444-446 www.ijrcog.org pISSN 2320-1770 | eISSN 2320-1789 DOI: 10.5455/2320-1770.ijrcog20130940 Case Report Primary ovarian pregnancy a rare clinical entity: a case report Shweta Tomar Yadav*, Simmanjit Kaur, Sunita Goyal Department of Obstetrics and Gynecology, Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Mullana (Ambala), Haryana, India Received: 30 May 2013 Accepted: 15 June 2013 *Correspondence: Dr. Shweta Tomar Yadav, E-mail: [email protected] © 2013 Yadav ST et al. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. ABSTRACT Ovarian pregnancy is a rare form of ectopic pregnancy. It constitutes <3% of all ectopic pregnancies with an incidence ranging from 1:6000 to 1:40000 pregnancies. There has been an increase in the incidence of ovarian pregnancies due to better diagnostic modalities such as transvaginal ultrasonography (TVS) and serum beta-HCG estimation. Though it is usually misdiagnosed as ruptured tubal pregnancy, ruptured haemorrhagic cyst, ruptured corpus luteal cyst, therefore, awareness of this rare condition is important in reducing the associated risk. Hence, we report a case with ectopic ovarian pregnancy managed by conservative surgery at MMIMSR, Mullana, Ambala. Ovarian ectopic pregnancy can be managed by conservative surgeries. Keywords: Ectopic ovarian pregnancy, Transvaginal ultrasonography (TVS), Beta-HCG INTRODUCTION cycles were regular, 28-30 days cycle with average flow.
    [Show full text]