Objectives: 1) To study the obstetric outcome in two women with heterotopic pregnancy, 2) To report the challenges faced during management of these pregnancies. Design: Case study of two heterotopic pregnancies manage...Objectives: 1) To study the obstetric outcome in two women with heterotopic pregnancy, 2) To report the challenges faced during management of these pregnancies. Design: Case study of two heterotopic pregnancies managed by us. Setting: RL Jalappa Hospital and Research Hospital. Patients: Two women with heterotopic pregnancy. Interventions: Laparotomy and management of ectopic component. Main Outcome Measures: Pregnancy outcomes following surgery. Results: Both pregnancies continued with one live birth at 36 weeks and one preterm delivery at 29 weeks with neonatal death subsequently. Conclusion: Pregnancy outcome after surgery for heterotopic pregnancy is guarded and is at high risk for preterm birth. Salpingostomy is a good option when faced with dilemma of whether it is hematosalpinx or ectopic pregnancy instead of salpingectomy.展开更多
The disorder of sex development is a rare disorder that usually occurs in early childhood.As adults,those with disorder of sexual development present with gynecomastia,primary amenorrhea,and primary infertility,which ...The disorder of sex development is a rare disorder that usually occurs in early childhood.As adults,those with disorder of sexual development present with gynecomastia,primary amenorrhea,and primary infertility,which often causes great psychological impact.We report a unique case of a male adult hermaphrodite presenting with hematometra and hematosalpinx.Early management including psychiatry counseling,gender reassignment,and surgery is essential.Our patient underwent müllerian tissue removal with phallus reconstruction.展开更多
文摘Objectives: 1) To study the obstetric outcome in two women with heterotopic pregnancy, 2) To report the challenges faced during management of these pregnancies. Design: Case study of two heterotopic pregnancies managed by us. Setting: RL Jalappa Hospital and Research Hospital. Patients: Two women with heterotopic pregnancy. Interventions: Laparotomy and management of ectopic component. Main Outcome Measures: Pregnancy outcomes following surgery. Results: Both pregnancies continued with one live birth at 36 weeks and one preterm delivery at 29 weeks with neonatal death subsequently. Conclusion: Pregnancy outcome after surgery for heterotopic pregnancy is guarded and is at high risk for preterm birth. Salpingostomy is a good option when faced with dilemma of whether it is hematosalpinx or ectopic pregnancy instead of salpingectomy.
文摘The disorder of sex development is a rare disorder that usually occurs in early childhood.As adults,those with disorder of sexual development present with gynecomastia,primary amenorrhea,and primary infertility,which often causes great psychological impact.We report a unique case of a male adult hermaphrodite presenting with hematometra and hematosalpinx.Early management including psychiatry counseling,gender reassignment,and surgery is essential.Our patient underwent müllerian tissue removal with phallus reconstruction.
