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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

The aim of the work has been hysterosalpingographic estimation of oviductal patency in women with case histories encumbered or not encumbered by inflammations restricting the fertility, with taking into consideration the anatomical state of the reproductive organs being evaluated by gynaecological examination. Of 429 women covered by the study 102 out of a group of 277 with primary infertility reported adnexitis in their case histories, while 67 women out of a group of 152 with secondary infertility declared having had inflammations. In women, whose anamnesis included inflammations, uterine adnexa thickening as well as abdominal position of uterus with restricted movements appeared in the group of examined women with primary infertility (15.2%) about twofold, and in the group with secondary infertility (26.5%) over fourfold more frequently than in women with inflammatory--free case histories. The women, in whom the gynaecological examinations failed to reveal any changes in genital organs, regardless of the fact that they reported adnexitis, were found to have uni- or bilateral in patency of oviducts from 43.7% to 96.2%, mean in 53.74%, and in those with pubescent uteri on the average 53.75%, with thickened uterine adnexa--mean 64.46% with abdominal position and restricted movements of uterus on the average 74%. Oviductal in patency was recorded twofold more frequently in women, whose case histories disclosed uterine adnexitis.
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PMID:[Diagnostic value of directed anamnesis and gynecologic examination with regard to HSG investigation in diagnosis of mechanical infertility in women]. 130 57

The results of combined treatment of 83 women (17-43 years old) with septic complications following abortion in a nonhospital setting are reviewed. The group included 9 primigravida and 74 secundigravida. Almost all women had a history of extragenital diseases and 52 had a history of genital tract inflammations. Pregnancy was terminated in the first trimester in 56 and in second trimester in 27. Septic complications (endometritis and adnexitis) developed on day 2-20 after abortion. Of 83 patients, 10 (12%) died in spite of prolonged and unsuccessful treatment. 22 women with diffuse peritonitis and peritoneal abscess underwent surgery (extirpation of the uterus and tubes in 17, supravaginal amputation of the uterus in 1, and opening of the abscess in 4) and 51 underwent curettage of the uterine cavity. Postoperative treatment included antibiotics, administration of plasma substitutes, heparin, correction of electrolyte imbalance, administration of immunostimulants, and transfusion of the autologous blood irradiated with ultraviolet rays. Antibiotic therapy usually consisted of at least 2 drugs in maximum doses (1 antibiotic was given iv). The most frequent combination was penicillin (6-8 g/day) together with aminoglycosides or cephalosporins. Antibiotics were given for 7-10 days. Indications for extirpation of the uterus and tubes included anaerobic septic process in the uterus, dissemination of the infection outside the uterus, renal-hepatic failure, perforation or necrosis of the uterine wall. Instead of peritoneal dialysis, the patients received irrigation of the peritoneal cavity with a mixture of kanamycin, furagin and novocain. All 72 patients survived surgery or curettage and were cured.
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PMID:[Current treatment of postabortion sepsis]. 294 71

The most efficient, convenient, relatively risk-free, and widely used form of contraception is the IUD. However, pregnancies do occur sporadically with this method. The IUD may also provoke interruptions of the menstrual function, disease syndromes, inflammation of the genitals, and be expulsed and cause perforation of the uterus, or be displaced. Literature provides contradictory evidence regarding the development of ectopic pregnancies in connection with the use of IUD, however, a 3.5-4 times higher frequency than for the general population has been reported. 210 operations were performed in the gynecological clinics in Yaroslavl for extrauterine pregnancy during the period 1984-87. For 36 patients (17.1%) an IUD (Lippes loop) was found in the uterine cavity. The majority of the women were in the age group 20-35. All patient except one were multiparous with an average of 1-3 births and from 2 to 5 induced abortions. 6 women had carried the IUD for less than a year, 27 women between 2 and 4 years, 2 women from 4 to 9 years, and 1 woman 11 years. All women were urgently treated and operated on within a few hours of being admitted to the clinics. During laparoscopic tests, 13 women showed rupture of the fallopian tubes with significant bleeding into the abdominal cavity. When the women first consulted the clinic, the diagnosis for most of them was either endometritis, disruption of the menstrual function, or acute adnexitis in connection with use of IUD, and only for 3 of them was an extrauterine pregnancy suspected, since the IUD makes that circumstance unlikely. The postoperative period was uneventful for all patients and they were discharged after 12-16 days. For users of IUD it is concluded that if the menstrual period is skipped and subsequent occurrence of disease symptoms or greasy or bloody excretions occur, the possibility of extrauterine pregnancy should be considered, and the patient should be directed to a gynecological clinic in order to pinpoint the diagnosis and arrange for treatment.
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PMID:[Ectopic pregnancy during the use of intrauterine contraceptive devices]. 319 17

Obscure, chronically recurring pains in the lower abdomen and back are common symptoms in the office of the gynecologist or practitioner. Often the cause has never been found. Many are functional or psychosomatic disturbances. There is no objective measurement of the quality or amount of pain. Common diagnoses have been chronic adnexitis, chronic appendicitis, retroflexion of the uterus, or adhesions. Too often surgical operations have been of little benefit. When consultations with other specialists have not helped, laparoscopy is indicated. Endometriosis is a common finding. Cauteriziation of this lesion at laparoscopy is better than hormone therapy. Adhesions may be severed with relief of symptoms. Varicose enlargement of ovarian veins is sometimes seen. Laparotomy may be indicated for conditions not readily treated by laparoscopy. However, indications for surgery should be carefully considered to avoid iatrogenic damage in an already apprehensive patient. Tranquilizers and small doses of cortisone may be adequate. In about 80% of patients complaining of chronic lower abdominal pain, organic disorders may be found by laparoscopy. The procedure should be recommended more frequently.
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PMID:Chronic pelvic disease of unknown origin. 427 10

The tissue penetration of sulbactam/cefoperazone (SBT/CPZ) was studied. The drug was also used in the treatment of 3 patients with gyneco-obstetrical infection. The results of these studies are summarized as follows. The elbow venous blood concentration and uterine arterial blood concentration were in about the same level and diminution curve of their concentrations took also a similar pattern. The tissue levels of the uterus and uterine appendices were determined and found to be high in the portio vaginalis, myometrium and oviduct. Each of the 3 patients with whom the dead space fluid concentration was determined showed her own concentration curve. SBT/CPZ was administered to 2 patients with adnexitis and 1 patient with pelvic peritonitis, and was markedly effective in 2 patients and moderately effective in other 1 patient.
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PMID:[Fundamental and clinical studies on sulbactam/cefoperazone in the field of obstetrics and gynecology]. 609 74

Fundamental and clinical studies on T-1982 (cefbuperazone), a new cephamycin antibiotic, in the field of obstetrics and gynecology were carried out, and the following results were obtained. The levels of T-1982 transferred to uterine artery, elbow vein and uterus were determined after intravenous drip infusion of 1.0 g for 1 or 2 hours. No difference of concentration between uterine artery and elbow vein was observed from 45 minutes to 5 hours after the end of administration. The concentration of T-1982 in uterine artery ranged from 9.8 to 48 micrograms/ml after drug administration, and decreased slowly, but remained at about 10 micrograms/ml even 5 hours after the end of administration. Endometrium exhibited comparatively higher concentration of T-1982, but the difference of concentration was not observed among the other uterine tissues. T-1982 concentration ratios of various uterine tissues to elbow vein blood ranged from 172 to 10.2%, and mean ratio was 34.7%. Also, T-1982 concentration of more than 3 micrograms/g in each tissue was maintained for 2 hours after the end of administration. Clinical results on abscess of Bartholin's gland (1) and adnexitis (1) were good, although bacteria were not detected. No side effects caused by the drug were observed. These results indicate the usefulness of T-1982 in the treatment of infections in obstetrics and gynecology.
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PMID:[Fundamental and clinical studies of T-1982 (cefbuperazone) in the field of obstetrics and gynecology]. 662 May 64

Currently, the most used IUD's are those containing copper and the ones containing progestins. The foreign body reaction to these IUDs leads to biochemical and biological changes in the uterus which affect ovum and sperm transport and the development of the blastocyst. Copper augments this foreign body reaction and has a cytotoxic effect on sperm and blastocyst. Progesterone causes atrophy of the glands, a pseudodecidual stroma reaction of the endometrium and a change in blastocyst metabolism preventing implantation. Indications for IUD are: 1) older women with completed families, 2) between desired pregnancies, 3) with contraindications for hormonal contraception, 4) low compliance (e.g. mental disorders). Patients should be carefully examined before insertion of a well-fitting IUD. Patient education must include the occurrence of cramplike pain after insertion; light bleeding for a few days; more bleeding at first and, possibly, subsequent menstruation. Patients should be encouraged to see their doctor with more severe pain, bleeding, or fever. IUD should not be inserted immediately following pregnancy or abortion; higher expulsion and/or pregnancy rates have been observed with this in various studies. Follow-up with sonography after insertion should be done the 1st 2 months, then every 6 months. Pregnancy rates for various IUD's in the 1st year of use are between 0.5 and 2.6/100 women. Side effects of IUD's are spontaneous expulsion (1.4-15.7/100 women) in 1st year, bleeding disorders, pain, adnexitis, uterus perforation and ectopic pregnancy. Various contraindications for IUDs are listed. Indications for removal are: desire for children, pregnancy with in-situ IUD, pathological bleeding over more than 3 cycles, severe pain which does not disappear with spasmolytic analgesics, and occurrence of salpingitis.
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PMID:[The intrauterine device from today's perspective]. 685 15

A review is given of the findings obtained in 334 women in whom an IUD had been inserted at least 2 years previously. Regular follow-up examinations were subsequently undertaken. The most frequent indications were an expressed preference for an IUD on the part of the patient (38.3%), poor tolerance of the pill (24.8%), and pill fatigue (11.1%). Varicose veins led to IUD preference in 8.1% and thromboembolic disease in 6.0%. The failure rate, 12 pregnancies, was 3.6%, all within 6 months of device insertion. 1/2 of the pregnancies went to term and resulted in the birth of mature, healthy babies. The most frequent complications were menstrual disturbances (20.1%), pain (19.5%), cervicitis (18.3%), and adnexitis (13.8%), necessitating removal of the device in 5.7%, 4.2%, 5.1%, and 0.6% of all cases respectively. These rates are relatively high. The expulsion rate of 2.7% was relatively low. Further analysis of the complications led to the observation that menorrhagia was relatively common in nulliparae in women with a retroversion of the uterus, whereas the preinsertion finding of a pressure-sensitive uterus with a normal ESR, led in a significantly higher percentage of cases, to pain and adnexitis. The diagnosis by vaginal probe of a reduced uterine length led to faulty positioning and an increased tendency to pain in a significantly higher number of cases. The fact that only 56.6% of all women tolerated IUDs well and remained totally symptom-free, supports the view held by us that even today the pill remains the contraceptive of choice and should be recommended as such. (author's)
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PMID:[Intrauterine contraception with copper-T 200 device- a retrospective analysis of 334 cases (author's transl)]. 726 15

Total postoperative complications after induced abortion in the German Democratic Republic is 9.7%. This increases to 20% in women over 35 years old with a uterine myoma and concurrent pregnancy. Necrotic degeneration of a myoma following induced abortion is rare in the literature. A 43 year old patient presented for therapeutic abortion at 3 months pregnancy. A uterine myoma of the posterior wall was found at preoperative evaluation. Vaginal suction evacuation was performed under anesthesia. After subsiding of symptoms further gynecological palpation showed a fist-size, painful, retroflexed uterus with painful adnexa and Douglas' pouch. Antibiotics were used to treat the adnexitis. Diminishing of symptoms did not result in decrease of uterine size and laparotomy was done for suspected degenerative softening of the myoma. Partially necrotized uterine myoma, solidly encased in the Douglas' pouch, was found and radical hysterectomy was performed. Except for a successfully treated urinary infection the postoperative course was smooth and patient was discharged on day 17. Histology findings were nonmalignant, fibrosed intramural leiomyoma of the uterus. Degenerative changes of uterine myomas are most likely caused by nutritional deficiency of the myoma. Space restriction following therapeutic abortion, risk of possible tissue trauma, thrombus formation and bacterial infection can all induce the necrotic process. Necrosis of uterine myomas should be considered as a possible complication in a typical postoperative course of therapeutic abortion.
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PMID:[Necrotic uterine myomatosis--a rare complication following vaginal termination of pregnancy by suction (author's transl)]. 726 82


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