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Query: UMLS:C0000737 (abdominal pain)
 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Eleven women were referred with postabortal amenorrhoea and cyclical lower abdominal pain due to upper cervical occlusion by a thin band of fibrous adhesions. All had undergone first trimester termination of pregnancy by vacuum curettage. Associated intrauterine adhesions were found in 2 patients. Cervical adhesions were easily breached with a uterine sound and cervical dilators, and were then visualized with a hysteroscope. All women resumed normal menstrual cycles and suffered no sequelae. This unusual, but eminently treatable, complication of vacuum curettage should be more widely appreciated.
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PMID:Cervical occlusion due to adhesions following therapeutic abortion: an uncommon sequel to vacuum curettage. 659 81

75 patients with ectopic pregnancy were treated at Jordan University Hospital between January 1976-December 1982. The ratio of ectopic pregnancies to deliveries was 1:162. The most common symptoms were: abdominal pain--96%; amenorrhea--69.3%; and vaginal bleeding--60%. No patients with pelvic inflammatory disease were found. An IUD was present in 14.6% of the patients and 10.6% of the cases had previous pelvic surgery. Culdocentesis gave false negative results in 16.7% of the patients. Treatment of choice was salpingectomy. There were no maternal deaths in this series.
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PMID:Ectopic pregnancy: a seven-year survey. 667 5

102 patients using Trinordiol, a triphasic oral contraceptive (OC) containing ethinyl estradiol and d-norgestrel, were followed for 932 cycles in a study of secondary effects. Follow-up visits were scheduled after 1,3, and 6 months and every 6 months thereafter. 26 patients discontinued use of the pills during the study after using them for a total of 159 cycles. 5 discontinued because of abdominal pain, 1 for breast tenderness, and 1 because of headaches or migraines. 7 discontinued because of metrorrhagia, 4 for weight gain, 3 for amenorrhea, 2 for nausea and vomiting, and 1 each for nervousness, water retention, acne, desire for pregnancy, leaving the country, hypertension, and unknown motivation. the average age of patients was 23.6 years, with a range from 14-48. 76% were aged 15-29 years. 52.9% were nulliparas. 58.8% were Belgian, 21.6% were from Mediterranean Europe, 10.8% were Moroccan, and 7.9% were from black Africa. Only 1 patient, a 37 year old, developed hypertension. 15 patients gained more than 2 kg and 17 lost more than 2 kg. 15.8% complained of spotting during the 1st cycle compared to 3.1% during the 6th cycle, 5.2% during cycle 7-12, and 9.1% during cycle 13-30. Among 35 patients who did not discontinue treatment, 7 complained of amenorrhea and 1 of scanty menstrual bleeding, 14 of pain including 7 cases of pelvic pain, 2 of dysmenorrhea, 3 of breast tenderness, and 2 of headaches, 15 of leukorrhea, 3 of nausea, 2 of dizziness, and 1 each of fatigue, acne, galactorrhea, and cutaneous pruritus. 1 case of myoma at the level of the uterine cornu was identified after 24 cycles of treatment. In all, 61 patients had some complaint, while 41 were totally satisfied. No patient became pregnant during the study.
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PMID:[Clinical study of the secondary effects associated with taking a triphasic anti-ovulatory contraceptive]. 670 4

Ectopic pregnancy may be a dramatic occurrence, such as in the acutely ruptured extrauterine entity, or diagnosis may be delayed in the chronic ectopic gestation. Eight cases of infected ectopic pregnancy simulating tubo-ovarian abscess are reported; the diagnosis may be difficult and misleading. Symptoms and signs include abdominal pain and vaginal bleeding following a period of amenorrhea, usually accompanied by fever. All patients in our series presented with a picture of tubo-ovarian or pelvic abscess; however, the diagnosis of infected ectopic pregnancy was made preoperatively in all due to a positive beta-hCG test. Surgery in our cases included unilateral salpingo-oophorectomy in 7, and salpingectomy in one. Attention was drawn to the fact that, in the case of unilateral tubo-ovarian abscess, infected ectopic pregnancy should be suspected whenever preoperative beta-hCG is positive.
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PMID:Infected ectopic pregnancy presenting as unilateral tubo-ovarian abscess. 674 81

From July 1, 1972, to June 30, 1979, 149 patients with ectopic pregnancy were treated at Truman Medical Center. The history and physical findings, diagnostic procedures, etiologic factors and patient management were reviewed. Abdominal pain (98.6%), amenorrhea (74.1%) and irregular vaginal bleeding (56.4%) were the most common presenting symptoms. Abdominal tenderness (97.3%) and adnexal tenderness (98%) were the most common physical findings. Culdocentesis was performed in 118 cases and was positive for nonclotting blood in 94.1%. In 115 cases (78.2%) the ectopic pregnancy was ruptured prior to the time of admission. The incidence of diagnostic error was 35.9%. There were no maternal deaths; however, the incidence of morbidity was 26.5%. Our data reemphasize the need for a high degree of suspicion and early utilization of definitive diagnostic procedures if the morbidity and mortality of ectopic pregnancy are to be reduced.
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PMID:Ectopic pregnancy: a review of 147 cases. 709 61

A case is described wherein a 27 year old woman with a breast lump and an IUD in situ for 12 months complained of a prolonged menstrual period which the physician suggested was caused by the IUD. A dilatation and curettage was performed to remove the IUD and the woman then experienced severe lower abdominal pain. A laparoscopy showed an ectopic pregnancy of 6 weeks in the left fallopian tube; salpingectomy was performed. The author suggests caution in diagnosing a patient with these symptoms for the following reasons: 1) women of childbearing age with lower abdominal pain and unusual menstrual bleeding, even if they have been sterilized, can have an ectopic pregnancy; 2) the absence of amenorrhea can be a trap in failing to disguise pregnancy; 3) ectopic pregnancy should be suspected in a patient with vaginal bleeding, an enlarged uterus, and an IUD, especially if there is pain; and 4) performing a dilatation and curettage does not necessarily mean that the problem has been dealt with.
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PMID:IUDs and IOUs. 711 16

A 25-year-old women presented with a 9-week amenorrhea, lower abdominal pain and a positive pregnancy test. Ultrasonography disclosed an intact pregnancy in the interstitial portion of the right Fallopian tube. Surgical and pathological findings confirmed the diagnosis. The value of ultrasonography in the diagnosis of ectopic pregnancy is emphasized.
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PMID:Ultrasound diagnosis of interstitial pregnancy. 728 9

We reviewed the records of 501 patients with ectopic pregnancy (EP) seen at the Kings County Hospital during a five-year period (January 1973-December 1977). Our population characteristics and anamnestic data correlated well with those reported in the literature, except for lower incidence of a previous pelvic infection. Abdominal pain, amenorrhea, and vaginal bleeding were the most common presenting symptoms. While the ultrasound studies demonstrated adnexal masses of a non-specific nature, the laparoscopy constituted an accurate diagnostic tool. Ruptured EP was found in 339 patients (67.6%). Salpingectomy only was the mode of treatment in 369 cases (73.6%). In 28.4% of the cases there a microscopic evidence of chronic inflammatory changes of the tube. There were two fatalities. This study appears to indicate an increasing incidence of EP in our institution, along with, and despite, a decreasing frequency of chronic pelvic inflammatory disease in these patients.
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PMID:Ectopic pregnancy. A retrospective study of 501 consecutive patients. 732 75

From July 1970 to July 1976, 212 confirmed cases of ectopic pregnancy were seen at Ben Taub General Hospital. Amenorrhea, abdominal pain, and vaginal bleeding were present in most patients, of which 24% demonstrated shock when first seen. The majority (94%) were admitted directly from the Emergency Center, the remainder had been seen initially in the outpatient clinic. The patients ranged in age from 14-42 years; the average age was 26.4. There were 44 primagravidas and 168 multigravidas. Previous pelvic inflammatory disease was found in 127 patients (59.9%). Of the 212 procedures, there were 102 salpingectomies and 80 salpingo-oophorectomies. Total hysterectomy was performed in 29 patients. The right tube was involved in 54.2% of the cases; the left tube was involved in 45.8%. The pregnancy was located in the ampullary portion of the tube in 110 patients (51.8%), the isthmic portion in 64 (30.2%), the cornual portion in 13 (6.1%). In 25 patients (11.8%) the exact site could not be determined. An incidental appendectomy was performed in 51 (24%) patients. Major postoperative complications occurred in 5.2% of patients. 138 patients were Black; 27 Mexican American; 46 Anglo; and, 1 Oriental. There was 1 maternal death in the series.
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PMID:Ectopic pregnancy: a review of 212 cases. 738 71

During 13 months from November 1, 1977, through November 30, 1978, 283 patients underwent radioimmunoassay (RIA) for determination of serum beta-subunit of human chorionic gonadotropin (beta-hCG) to rule out ectopic pregnancy. The records of 234 patients were available for statistical analysis and of these, 188 (80%) had negative results, defined as less than 1 ng/ml. The ectopic group comprised 22 patients, all of whom had elevated beta-hCG levels. There were no false-negative results in either group. Patients with suspected ectopic pregnancy had symptoms similar to patients previously reported in the literature with proved ectopic pregnancies. The most common presenting symptoms of those with suspected ectopic pregnancy were abdominal pain (91%), amenorrhea (76%), irregular bleeding (68%), and andexal mass (55%). Seventy-three patients presented with the classic triad of pain, uterine bleeding, and adnexal mass. Only 10 (14%) had ectopic pregnancies. Urine pregnancy tests were found to be of no benefit in diagnosing ectopic pregnancy and confused the clinicians in some instances. In patients with suspected ectopic pregnancy, a negative beta-hCG, by the RIA technique ruled out ectopic pregnancy in 100% of the cases.
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PMID:beta-hCG as a diagnostic aid for suspected ectopic pregnancy. 739 9


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