[Downloadable Files]   [Directions to the Office]    [General Information]
 

Home
Up
Tubal Reversal
Reproductive Surgery
Babies
Endometriosis
Infertility
Laparoscopy
Hysteroscopy
Fibroids
Adhesions
Hysterectomy
Sterilization
News
Dr Martin
Tubal Requests
Search
Downloads
Links

Dan C. Martin, MD
UT Medical Group, Inc.

University of Tennessee Health Science Center (UTHSC)

UTHSC Academic Office

Daniel Clyde Martin, M.D.
UT Medical Group, Inc.
Infertility and Gynecology
Reproductive Surgery
Germantown Office Building
7945 Wolf River Boulevard
Suite 320
Germantown, Tennessee
TN 38138-1733

(901) 347-8331
(901) 347-8188 fax
Directions to Office

Updated information is at
UTMG 2006

Click for information on:
Glenn Ann Martin, Ph.D.
Clinical Psychologist

 

Tubal Pregnancy

There is an increased chance of tubal pregnancy after tubal repair by tubal reversal, salpingostomy or lysis of adhesions and with salpingitis isthmica nodosa.  This chance is higher if there was a previous tubal pregnancy.  When IVF is reasonable, removing the tubes may be a better answer than saving them when tubal pregnancy occurs..

Close monitoring is needed to diagnosis tubal pregnancy.  This can include two or more blood pregnancy tests at 2 to 3 weeks and one or more sonograms at 3 to 3.5 weeks.

--------------------------------------------------------------

Case History:

Tubal pregnancy treated with methotrexate 1998

D & C for miscarriage 2000

15 or more months of clomiphene 2001 - 2002

Positive Chlamydia Trachomatis IgG but negative IgM and DFA 2003 compatible with past infection but no recent activity.  The infection probably happened before the tubal pregnancy in 1998.

--------------------------------------------------------------

Laparoscopy with left salpingostomy and right fimbrioplasty 2003

Both tubes were thickened neat the uterus (cornua) suggestive of salpingitis isthmica nodosa.  Fitz Hugh Curtis adhesions, psammoma bodies and  endosalpingiosis were present.  The ends of the tubes were opened and  the fimbriae (fingers) were blunted.

       

    

   

--------------------------------------------------------------

Second Look Laparoscopy 2003
Both tubes were open and there were few adhesions.

   

--------------------------------------------------------------


Another pregnancy occurred within two months of surgery.  But this was a second  tubal pregnancy.  Surgery was needed to remove the tube.

Laparoscopy 2004

The right tube contains the tubal pregnancy and blood.  It is enlarged compared with the left tube.  The right tube was removed and the remaining stump is in the third picture.  The area of salpingitis isthmica nodosa appears more prominent due to the pregnancy.

       

      Top of Page                   Table of Contents      
 

 
Send comments about this web site to the Webmaster.
Copyright 2000 - 2010