Pub Date : 2017-10-12DOI: 10.3329/BJOG.V31I1.34279
S. B. Chowdhury
{"title":"Abstracts Vol.31(1)","authors":"S. B. Chowdhury","doi":"10.3329/BJOG.V31I1.34279","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34279","url":null,"abstract":"","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"57"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48136025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/bjog.v31i1.34276
Fahmida Rashid, A. Sattar
Posterior reversible encephalopathy syndrome (PRES) is a recently described clinicoradiologic entity that is associated with several medical conditions like hypertensive encephalopathy and eclampsia. It present with headache, confusion, visual disturbances or blindness, and seizures. Parieto-occipital white matter changes due to vasogenic edema can be observed on imaging modalities. It rarely occurs without seizures. There have been reports about PRES associated with pregnancy, especially peripartum. It is often, but not always, associated with high blood pressure. The pathophysiology of PRES is not still clear. Here we report a 23-yearold primigravida with unremarkable antenatal period but complicated by PRES with seizures at her 5th postpartum day. Postictal findings reported headache and magnetic resonance imaging (MRI) findings suggested that PRES were evident. Clinical improvement with complete resolution without any complications was observed on the 8th post operative day with supportive treatment. This case report highlights the importance of awareness, prompt diagnosis and treatment to improve the outcome in this potentially life-threatening, but reversible condition.
{"title":"Postpartum Posterior Reversible Encephalopathy Syndrome – A Case that can Press Hard an Obstetrician","authors":"Fahmida Rashid, A. Sattar","doi":"10.3329/bjog.v31i1.34276","DOIUrl":"https://doi.org/10.3329/bjog.v31i1.34276","url":null,"abstract":"Posterior reversible encephalopathy syndrome (PRES) is a recently described clinicoradiologic entity that is associated with several medical conditions like hypertensive encephalopathy and eclampsia. It present with headache, confusion, visual disturbances or blindness, and seizures. Parieto-occipital white matter changes due to vasogenic edema can be observed on imaging modalities. It rarely occurs without seizures. There have been reports about PRES associated with pregnancy, especially peripartum. It is often, but not always, associated with high blood pressure. The pathophysiology of PRES is not still clear. Here we report a 23-yearold primigravida with unremarkable antenatal period but complicated by PRES with seizures at her 5th postpartum day. Postictal findings reported headache and magnetic resonance imaging (MRI) findings suggested that PRES were evident. Clinical improvement with complete resolution without any complications was observed on the 8th post operative day with supportive treatment. This case report highlights the importance of awareness, prompt diagnosis and treatment to improve the outcome in this potentially life-threatening, but reversible condition.","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"46"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/bjog.v31i1.34276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48310266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/BJOG.V31I1.34272
J. Ferdous, S. Khatun, S. Biswas, S. Pervin, Latifa Akter, Kashfia Ahmed Keya, M. Joarder, J. M. Khan
: Objective(s): The aim of this study was to evaluate the risk of cervical cancer in relation to serum concentrations of folate. Materials and methods: This case-control study was conducted in the Gynaecologic Oncology Division of Bangabandhu Sheikh Mujib Medical University from November 2015-October 2016. For this study 50 patients with invasive cervical cancer were taken as study population and 50 healthy women of VIA or paps negative were taken as control to observe and compare serum folate level. Exclusion criteria were women with conditions associated with low folate level. Outcome variable was serum folate level and a p value of < 0.05 was considered as significant. Results: Most of the participants belonged to age group 35 to 55 years in both the groups. Most of the study cases had low income status than the control group. Maximum patients with cervical cancer took OCP in comparison to control. Majority of the patients with cervical cancer had significantly low level of serum folate (<2.7ng/ml) than those in the control group (2.7-16.1ng/ml), p=000. Conclusion: A significantly low level of serum folate, was observed in patients with invasive cervical cancer. So dietary interventions with folate supplementation might have some role in prevention of cervical carcinoma.
{"title":"Low Serum Folate Level and Increased Risk of Invasive Cervical Cancer in Bangladeshi Women","authors":"J. Ferdous, S. Khatun, S. Biswas, S. Pervin, Latifa Akter, Kashfia Ahmed Keya, M. Joarder, J. M. Khan","doi":"10.3329/BJOG.V31I1.34272","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34272","url":null,"abstract":": Objective(s): The aim of this study was to evaluate the risk of cervical cancer in relation to serum concentrations of folate. Materials and methods: This case-control study was conducted in the Gynaecologic Oncology Division of Bangabandhu Sheikh Mujib Medical University from November 2015-October 2016. For this study 50 patients with invasive cervical cancer were taken as study population and 50 healthy women of VIA or paps negative were taken as control to observe and compare serum folate level. Exclusion criteria were women with conditions associated with low folate level. Outcome variable was serum folate level and a p value of < 0.05 was considered as significant. Results: Most of the participants belonged to age group 35 to 55 years in both the groups. Most of the study cases had low income status than the control group. Maximum patients with cervical cancer took OCP in comparison to control. Majority of the patients with cervical cancer had significantly low level of serum folate (<2.7ng/ml) than those in the control group (2.7-16.1ng/ml), p=000. Conclusion: A significantly low level of serum folate, was observed in patients with invasive cervical cancer. So dietary interventions with folate supplementation might have some role in prevention of cervical carcinoma.","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"23"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42181014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/BJOG.V31I2.34212
R. K. Kazal, S. Chowdhury, T. Parveen, H. H. Pervin, F. Noor, N. Akhter
Objective(s): The aim of the study was to identify safety and outcome of trans abdominal Chorionic Villus Sampling (CVS) for prenatal diagnosis of genetic disorders. Materials and methods: This is a retrospective analytical study on women who had undergone trans abdominal CVS. All CVS were done at Fetal medicine centre, Family Foundation, Green Road, Dhaka, from June 2013 to December 2016. A total of 286 couples, who were referred for prenatal diagnosis of various genetic disorders were studied. Trans abdominal CVS was done under local anesthesia and real-time ultrasound guidance. A 18G/88mm Spinal Needle (B Braun, Germany) was used. All CVS were performed with the 2 operators technique. The needle was introduced trans abdominally into the placenta in its longitudinal direction. Once the needle was adequately placed, the chorionic villi were aspirated with a to and fro jiggling movement of the aspiration needle and a suction force was applied through a syringe. Results were recorded and analyzed for descriptive statistics. Results: A total of 286 CVSs were performed as outdoor basis. The most common indication was detecting Beta-thalassaemia (82.5%). Other indications were for diagnosis of aneuploidy (9.7%), Hemophilia (3.1%), Spinal muscular atrophy (SMA) (2.4%), Duchenne Muscular Dystrophy (DMD) (2%). Most procedures were done between 11 and 13 weeks (range 11- 14 weeks). Most aspirations (95.1%) were easy; however, in 4.8% cases the aspiration was difficult due to a variety of factors. The overall success rate was 100%. Minor complications like placental hematoma and pervaginal (P/V) bleeding occurred in 2% and 1.3% respectively, which were subsided by conservative management. The procedure related miscarriage within three weeks not occurred in any cases. Conclusion: Trans abdominal CVS under real-time sonography is a useful outdoor procedure for prenatal diagnosis in early pregnancy without significant risk to the mother and the fetus. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 63-69
{"title":"Chorionic Villus Sampling (CVS) for Prenatal Diagnosis of Genetic Disorders in Bangladesh","authors":"R. K. Kazal, S. Chowdhury, T. Parveen, H. H. Pervin, F. Noor, N. Akhter","doi":"10.3329/BJOG.V31I2.34212","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34212","url":null,"abstract":"Objective(s): The aim of the study was to identify safety and outcome of trans abdominal Chorionic Villus Sampling (CVS) for prenatal diagnosis of genetic disorders. Materials and methods: This is a retrospective analytical study on women who had undergone trans abdominal CVS. All CVS were done at Fetal medicine centre, Family Foundation, Green Road, Dhaka, from June 2013 to December 2016. A total of 286 couples, who were referred for prenatal diagnosis of various genetic disorders were studied. Trans abdominal CVS was done under local anesthesia and real-time ultrasound guidance. A 18G/88mm Spinal Needle (B Braun, Germany) was used. All CVS were performed with the 2 operators technique. The needle was introduced trans abdominally into the placenta in its longitudinal direction. Once the needle was adequately placed, the chorionic villi were aspirated with a to and fro jiggling movement of the aspiration needle and a suction force was applied through a syringe. Results were recorded and analyzed for descriptive statistics. Results: A total of 286 CVSs were performed as outdoor basis. The most common indication was detecting Beta-thalassaemia (82.5%). Other indications were for diagnosis of aneuploidy (9.7%), Hemophilia (3.1%), Spinal muscular atrophy (SMA) (2.4%), Duchenne Muscular Dystrophy (DMD) (2%). Most procedures were done between 11 and 13 weeks (range 11- 14 weeks). Most aspirations (95.1%) were easy; however, in 4.8% cases the aspiration was difficult due to a variety of factors. The overall success rate was 100%. Minor complications like placental hematoma and pervaginal (P/V) bleeding occurred in 2% and 1.3% respectively, which were subsided by conservative management. The procedure related miscarriage within three weeks not occurred in any cases. Conclusion: Trans abdominal CVS under real-time sonography is a useful outdoor procedure for prenatal diagnosis in early pregnancy without significant risk to the mother and the fetus. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 63-69","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"63-69"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I2.34212","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46134763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/bjog.v31i1.34278
K. Begum, Kamil Ara Khanom, Joysree Saha
A 33 years old lady presented with history of irregular menstrual cycle followed by menorrhagia. USG revealed left ovarian solid mass but all tumor markers were within normal range. A solid mass on left sided ovary was found on laparotomy. Histopathological examination of the mass showed well differentiated sertoli cell tumor. Tumors of the stroma (Leydig cells) and/or sex cords (Sertoli cells) represent approximately 8% of ovarian tumors and develop from the connective tissue (respectively, interstitial and nurse cells) of the ovary. Because these cells participate in ovarian hormonal function, most of the sex-cord or stromal tumors are able to secrete hormones (estrogens, androgens, corticoids), which explains the hormonal dysfunctions associated with these tumors. Their prognosis are difficult to establish; some of the tumors are almost always benign (Sertoli cell tumors, Leydig cell tumors), whereas others are malignant but with more-or-less delayed local-regional or metastatic relapses.
{"title":"Case Report on Sertoli Cell Tumor of Ovary","authors":"K. Begum, Kamil Ara Khanom, Joysree Saha","doi":"10.3329/bjog.v31i1.34278","DOIUrl":"https://doi.org/10.3329/bjog.v31i1.34278","url":null,"abstract":"A 33 years old lady presented with history of irregular menstrual cycle followed by menorrhagia. USG revealed left ovarian solid mass but all tumor markers were within normal range. A solid mass on left sided ovary was found on laparotomy. Histopathological examination of the mass showed well differentiated sertoli cell tumor. Tumors of the stroma (Leydig cells) and/or sex cords (Sertoli cells) represent approximately 8% of ovarian tumors and develop from the connective tissue (respectively, interstitial and nurse cells) of the ovary. Because these cells participate in ovarian hormonal function, most of the sex-cord or stromal tumors are able to secrete hormones (estrogens, androgens, corticoids), which explains the hormonal dysfunctions associated with these tumors. Their prognosis are difficult to establish; some of the tumors are almost always benign (Sertoli cell tumors, Leydig cell tumors), whereas others are malignant but with more-or-less delayed local-regional or metastatic relapses.","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"54"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41532707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/BJOG.V31I2.34219
Maruf Siddiqui, N. Ghafoor, Fahmida Naznine, Chowdhury Ayesha Siddiqua, T. Chowdhury
Here we reported three cases of unilateral tubal and ovarian absence, along with laparoscopic images and images during ceasarean section in Anwer Khan Modern Medical College. Three patients with primary infertility of 6-8 years duration were reported as non-visualization of right adnexal structures on transvaginal ultrasound and hysterosalpingography. Absence of right adnexal structures of varying degree were detected during laparoscopy. Subsequent evaluation of renal system with Intravenous Pyelography were done. Ipsilateral absence of the fallopian tube and ovary without any other system anomalies were detected. Vascular accidents, Congenital defects or torsion could be the possible etiologic factors. Laparoscopy is a feasible option as a diagnostic tool for these cases. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 97-100
{"title":"Unilateral Absence of Ovary and Fallopian Tube: 3 Rare Case Reports","authors":"Maruf Siddiqui, N. Ghafoor, Fahmida Naznine, Chowdhury Ayesha Siddiqua, T. Chowdhury","doi":"10.3329/BJOG.V31I2.34219","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34219","url":null,"abstract":"Here we reported three cases of unilateral tubal and ovarian absence, along with laparoscopic images and images during ceasarean section in Anwer Khan Modern Medical College. Three patients with primary infertility of 6-8 years duration were reported as non-visualization of right adnexal structures on transvaginal ultrasound and hysterosalpingography. Absence of right adnexal structures of varying degree were detected during laparoscopy. Subsequent evaluation of renal system with Intravenous Pyelography were done. Ipsilateral absence of the fallopian tube and ovary without any other system anomalies were detected. Vascular accidents, Congenital defects or torsion could be the possible etiologic factors. Laparoscopy is a feasible option as a diagnostic tool for these cases. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 97-100","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"97-100"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43814054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/bjog.v31i1.34280
S. B. Chowdhury
{"title":"International News Vol.31(1)","authors":"S. B. Chowdhury","doi":"10.3329/bjog.v31i1.34280","DOIUrl":"https://doi.org/10.3329/bjog.v31i1.34280","url":null,"abstract":"","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"60"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45790147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/BJOG.V31I1.34268
N. Kabir
{"title":"Ovarian cysts in post-menopausal women","authors":"N. Kabir","doi":"10.3329/BJOG.V31I1.34268","DOIUrl":"https://doi.org/10.3329/BJOG.V31I1.34268","url":null,"abstract":"","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I1.34268","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42168795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/BJOG.V31I2.34218
F. Hussain
Cervical cancer is a totally preventable cancer in females. There is continuous effort ongoing to overcome the existing deficiencies in the screening and vaccination programme. The goal is to improve the situation so that maximum reduction in the incidence and mortality of cervical cancer can be achieved. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 94-96
{"title":"Updates in Cervical Cancer Prevention","authors":"F. Hussain","doi":"10.3329/BJOG.V31I2.34218","DOIUrl":"https://doi.org/10.3329/BJOG.V31I2.34218","url":null,"abstract":"Cervical cancer is a totally preventable cancer in females. There is continuous effort ongoing to overcome the existing deficiencies in the screening and vaccination programme. The goal is to improve the situation so that maximum reduction in the incidence and mortality of cervical cancer can be achieved. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 94-96","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"94-96"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3329/BJOG.V31I2.34218","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49184619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-12DOI: 10.3329/bjog.v31i2.34221
F. Begum, Setara Binte Kasem, S. Begum, A. Zannat, F. Rahman, R. M. Khan, A. Muhsin
The incidence of ectopic pregnancy is 20 per 1,000 pregnancies. Hydatidiform mole occurs in 1 per 1,000 pregnancies. Thus, the incidence of the ectopic molar gestation is very rare. We report a case of tubal molar pregnancy diagnosed at the systematic histology examination of an ectopic pregnancy. A 22 years old second gravida presented with five weeks amenorrhea, severe lower abdominal pain and mild vaginal bleeding for one day; and excessive sweating and restlessness for 6 hours. On clinical examination, she had severe anaemia, pulse was 120 per minute and blood pressure was 80/60 mm hg. The gynecological examination was difficult because of lower abdominal pain and tenderness. She was diagnosed as a case of ruptured tubal pregnancy with shock. Pelvic ultrasound revealed an irregular echogenic mass in the left adnexa. She was resuscitated and emergency laparotomy was done: it revealed a left-sided ruptured ampullary ectopic pregnancy. Left salpingectomy was performed. The systematic histologic test identified an ectopic molar pregnancy. The patient was followed with weekly quantitative B-hCG titers until three successive B-hCG levels were negative. It is important that clinicians routinely send for histological examination of tubal specimens in ectopic pregnancy in order to diagnose cases of ectopic molar gestations early and provide appropriate post treatment follow up. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 104-106
{"title":"Tubal Hydatidiform Mole: A Case Report","authors":"F. Begum, Setara Binte Kasem, S. Begum, A. Zannat, F. Rahman, R. M. Khan, A. Muhsin","doi":"10.3329/bjog.v31i2.34221","DOIUrl":"https://doi.org/10.3329/bjog.v31i2.34221","url":null,"abstract":"The incidence of ectopic pregnancy is 20 per 1,000 pregnancies. Hydatidiform mole occurs in 1 per 1,000 pregnancies. Thus, the incidence of the ectopic molar gestation is very rare. We report a case of tubal molar pregnancy diagnosed at the systematic histology examination of an ectopic pregnancy. A 22 years old second gravida presented with five weeks amenorrhea, severe lower abdominal pain and mild vaginal bleeding for one day; and excessive sweating and restlessness for 6 hours. On clinical examination, she had severe anaemia, pulse was 120 per minute and blood pressure was 80/60 mm hg. The gynecological examination was difficult because of lower abdominal pain and tenderness. She was diagnosed as a case of ruptured tubal pregnancy with shock. Pelvic ultrasound revealed an irregular echogenic mass in the left adnexa. She was resuscitated and emergency laparotomy was done: it revealed a left-sided ruptured ampullary ectopic pregnancy. Left salpingectomy was performed. The systematic histologic test identified an ectopic molar pregnancy. The patient was followed with weekly quantitative B-hCG titers until three successive B-hCG levels were negative. It is important that clinicians routinely send for histological examination of tubal specimens in ectopic pregnancy in order to diagnose cases of ectopic molar gestations early and provide appropriate post treatment follow up. Bangladesh J Obstet Gynaecol, 2016; Vol. 31(2) : 104-106","PeriodicalId":39936,"journal":{"name":"Bangladesh Journal of Obstetrics and Gynecology","volume":"31 1","pages":"104-106"},"PeriodicalIF":0.0,"publicationDate":"2017-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49252696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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