Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0001577 (adnexitis)
 232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Within a 2-year period, 2 cases of extremely rare occurence of simultaneous intra- and extrauterine pregnancy were observed in a Frankfurt-Oder clinic. In the 1st case the 33-year-old patient had had an IUD for 3 years. In the 2nd case the 40-year-old patient had suffered adnexitis after interuptio. Variations in egg-transport speed, stopping of the egg at a tubal obstacle, or digression of the egg are mentioned as possible causes for double pregnancy. Swelling of the tubal pregnancy due to nidation of the 1st intrauterine egg is also suggested. Incidence of tubal pregnancies is higher with IUDs or after adnexitis or adnex operations. Diagnosis in such cases is extremely difficult, and there is always a danger that the 2nd pregnancy may be overlooked because extrauterine pregnancy symptoms are so acute. If the uterus is abnormally enlarged or breakthrough bleeding does not occur after adnexectomy or removal of the corpus luteum graviditatis, or if there are positive pregnancy tests after Postoperative Day 14, intrauterine pregnancy should be suspected. If interupptio of intrauterine pregnancy has been performed, extrauterine pregnancy may be suspected if an adnex tumor is discovered, bleeding remains slight, or the immunological pregnancy test remains positive after 14 postpartum days. Thus it is recommended that preabortion examinations include tests for adnex tumors; thorough examinations may be carried out with anesthesia. Dismissal examinations should also be meticulously performed, and there should be careful ambulatory follow-up supervision of the patient.
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PMID:[2 cases of simultaneous intra- and extrauterine pregnancy]. 84 1

139 cases of tubal pregnancy were analyzed from different points of view over a 10-year period. The ratio of tubal abortion to tubal rupture, both as a result of tubal pregnancy, was determined in this sample at 1:1. Between abortion and rupture a clear difference in time lapse was found from the last regular menstruation to the culmination of the specific symptom. The average age of the patients studied was 28 years. 40% were nulliparae, 10% had been operated on for a previous extrauterine pregnancy. From the histories of these patients it was revealed that 14% had previously had adnexitis, although genital tuberculosis is considered to play a subordinate role. 4 cases in which an IUD was present were observed. In 45 cases, the tubal pregnancy was accompanied by appendicitis, although in no cases was the right tube found to be obstructed.
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PMID:[Tubal pregnancy]. 94 57

Clinical symptoms of the disease are: sterility, relapsing, adnexitis, chronic peritonitis or perimetritis, primary or secundary lack of menstruation, even spontaneous abortion with fever and tubal pregnancy. Any kind of physicotherapy causing hyperaemia or congestion, surgery or sexual hormontherapy may enhance local exacerbation even spread of the disease. Congestion may further enhance the growth of bacteria by supplying more oxygen, and the sex hormones are incorporated by them. These circumstances influence the pathogenesis in a particular manner. The iatrogen provocation can prevented by profilactic antituberculous care. Lack of the mentioned prevention results to local progression, exsudat, fistulas, severe adhaesions, which cannot be solved by surgery. The iatrogen damages can only be prevented if gynecologists and phthysiologists cooperate.
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PMID:[Iatrogenic provocation in female genital tuberculosis free of symptoms]. 96 Nov 99