Abstract:
INTRODUCTION:Ectopic pregnancy may lead to massive haemorrhage, infertility or death. Prompt diagnosis and treatment are crucial to save patients who would otherwise die. Serum amylase and lipase measurements are known biochemical markers of pancreatic inflammation and a recognized finding that may help diagnose acute pancreatitis. To the best of our knowledge (Medline, Pubmed, Cochrane Library have been researched) the following study presents the first case of ruptured ectopic pregnancy accompanied by markedly elevated amylase and lipase levels mimicking acute pancreatitis ever reported. CASE REPORT:A previously healthy, nulliparous 35-year-old woman was admitted to hospital with a 2-day history of abdominal pain and vomiting. Her last menstrual period was 7 weeks before presentation. At the admission, the patient was hemodynamically stable. The abdomen was soft with tenderness in its mesogastric area. Blood tests revealed markedly elevated activities of the pancreatic enzymes. Acute pancreatitis was the early clinical diagnosis and subsequent therapy was initiated. After 12 hours the condition of the patient suddenly worsened. She was clinically shocked with pallor, hypotension and tachycardia. Laboratory tests revealed anaemia and increased activities of pancreatic enzymes. An ultrasound examination demonstrated an accumulation of intraperitoneal fluid in the pelvis. Subsequently, the patient was subjected to immediate laparotomy. The peritoneal cavity contained large amount of blood. A cystic mass was found and extracted from the ruptured and bleeding right fallopian tube. Histological examination confirmed a rupture of an ectopic pregnancy of a 6-week-old foetus with an intact gestational sac. The patient made an uneventful recovery and was discharged from hospital after 8 days. CONCLUSIONS:Our case proves that a misdiagnosed ruptured ectopic pregnancy in the event of elevated activities of pancreatic enzymes may lead to delayed diagnosis of haemorrhage to peritoneum, resulting in hemodynamic instability.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Mitura K,Romanczuk Msubject
Has Abstractpub_date
2009-05-01 00:00:00pages
383-5issue
5eissn
0017-0011issn
2543-6767journal_volume
80pub_type
杂志文章abstract::The authors studied a sensory intensity response to sodium chloride (NaCl) and a sensory hedonic response to salt in suprathreshold concentrations in 120 healthy primigravidas (age: 20-40) during three trimesters of physiological pregnancy, and in 22 healthy nonpregnant women of the same age examined on the 7th or 8th...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract::The paper presents a simple and cheap method of transvaginal hydro-laparoscopy used for the observation women pelvic organs. The method may be useful to diagnose sterility, indefinite pains the pelvis or to control the patients previously undergoing operations. Hydro-laparoscopy was carried out in 12 patients by means...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-05-01 00:00:00
abstract::The purpose of the study was to present the symptoms, diagnostic methods, and treatment in retroperitoneal fibrosis (RPF). We present a case of a 53-year-old woman admitted to the hospital due to low back and abdominal pain complaints lasting a year. Ultrasonography revealed a myoma located along the right bank of the...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.17772/gp/60465
更新日期:2015-11-01 00:00:00
abstract::Osteoporosis is a great problem in postmenopausal women. It begins 4--5 years after a last period and appears in clinical form in about 25-44% women. Basic irregularity is osteopenia as a result of bone resorption superiority. Many observations lead to conclusion that postmenopausal osteoporosis follows estrogens defi...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-01-01 00:00:00
abstract::Doppler evaluation of the fetal venous system at present improves assessment of fetal well-being in many conditions. Actually, analysis of ductus venosus waveforms seems to be the most important. It place role in detection of genetic abnormalities (in low pregnancies), prediction of outcomes growth-restricted fetuses,...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2005-06-01 00:00:00
abstract::Theoretically, a woman could bear unlimited number of fetuses. Practically, the human being on the top of his phylogenetic spread, has chosen the singleton birth as its dominant. The anatomical constitution of the woman let her feed no more than two children at the same time. This were probably the reasons for conside...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
abstract::The Impact Factor is a measure of average citation frequency for articles in a specific scientific journal during a specific period of time. IF takes into account the content, sources, layout and frequency and regularity of publishing. In order to get an impact factor, a journal needs to be first put on the Philadelph...
journal_title:Ginekologia polska
pub_type: 社论
doi:
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to compare caffeine and paraxanthine concentrations in venous blood of pregnant women and in the umbilical cord blood of their newborns. MATERIALS AND METHODS:Pregnant women who gave birth at the Clinic of Obstetrics, Gynecology and Oncology 2nd Faculty of Medicine, Medical Universit...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1760
更新日期:2014-07-01 00:00:00
abstract::The expert panel recommendations are issued in order to increase the number of patients with urinary incontinence and overactive bladder receiving appropriate care. The expert panel recommends that urologists, gynecologists and other physicians interested in the field of incontinence should Incontinence question shoul...
journal_title:Ginekologia polska
pub_type: 杂志文章,实务指引
doi:
更新日期:2010-10-01 00:00:00
abstract::We analysed the indications to myomectomy in females in reproductive age and estimated efficasy of this treatment. 112 patients aged 23-45 were analysed. Most common indication to this procedure were: menorrhagia--45.54%, myoma found at gynecological examination--21.43%, adnexal mass--20.54% and pelvic pain--15.18%. 5...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1997-09-01 00:00:00
abstract:OBJECTIVES:Evaluation of testicular tissue is very important diagnostic procedures in cryptozoospermia and azoospermia. It is verified the patient for treatment (stimulation spermatogenesis), for micromanipulation ICSI or for insemination donor semen procedure. Surgical biopsy is very popular between andrologist and ur...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:The aim of the following study was to assess antisperm antibodies in sera samples of infertile men and women, as well as from prepubertal boys by means of flow cytometry. MATERIAL AND METHODS:We tested sera samples of infertile and fertile adult populations, prepubertal boys with gonadal disorders and healt...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVES:The success rate of methotrexate (MTX) therapy varies among tubal ectopic pregnancies. Common methylenetetrahydrofolate reductase (MTHFR) polymorphisms (C677T&A1298C) have been suggested to alter MTX effect. This study aimed to assess and compare MTX treatment failure rates with respect to MTHFR polymorphism...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2018.0091
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:Congenital heart diseases are very serious problem of current perinatology. Early detection of congenital heart diseases and new possibilities of their treatment have decreased mortality rate in neonates. THE AIM OF THE STUDY:Was to present the reasons of the heart murmurs found in newborns, based on postna...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2004-06-01 00:00:00
abstract::We presented the course of 1300 family deliveries and their comparison with the control group. We stated the elongation of the first stage of delivery (correspondingly 7 hours 10 minutes and 4 hours 10 minutes) and the second stage of delivery (70 minutes and 25 minutes). At the same time we observed that the obstetri...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract::Matrix metalloproteinases are proteolytic enzymes which degrade extracellular matrix proteins. Along with their specific inhibitors--issue inhibitors of metalloproteinases--they play an important role in the spreading of malignant tumours. The research conducted in recent years has shown that metalloproteinases and th...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:Dynamic development of prenatal diagnostics is mostly directed towards search for non-invasive screening. The main role of the screening methods is to select high-risk fetal aneuploidy group of pregnant women. The base for the prenatal screening in modern obstetrics is ultrasound scanning. DESIGN:The aim of...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2007-08-01 00:00:00
abstract::We were looking for presence, severity and extension of the invasion of vessels, with regard to the prognosis in 275 patient with infiltration limited only to uterine cervix (Ib), in which Wertheim-Meigs surgery was performed. It was found invasion of many vessels- in outside of the cervix is associated with poor prog...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1997-11-01 00:00:00
abstract:INTRODUCTION:The paper discusses the reliability of the Apgar score for evaluating newborns, particularly its usefulness in assessing the state of preterm or full term newborns born with hypoxia. AIM:The paper provides a sum-up of the opinions on usefulness and reliability of the Apgar score given by doctors from 255 ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2011-01-01 00:00:00
abstract:INTRODUCTION:Vascular-cellular adhesion molecule-1 (VCAM-1) overexpression on the cells' surface is stimulated by pro-inflammatory cytokines, bacterial endotoxins, reactive oxygen species and lipid peroxides. In the serum also the soluble form of VCAM-1 (sVCAM-1) is present. The beta 1-integrin family molecule VLA-4 (C...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-10-01 00:00:00
abstract:UNLABELLED:The aim of the study was to evaluate antioxidant system activity and lipid peroxidations products as markers of oxidative stress in the cord blood of newborns delivered to mothers with diabetes type G1 in comparison to healthy pregnant women. MATERIALS AND METHODS:We examined 10 healthy and 10 diabetic moth...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:The aim of the following work was to evaluate vaginal and cervical colonization in patients with threatening preterm labor and comparing the frequency of colonization of the term and preterm labor groups. MATERIAL AND METHODS:532 pregnant women with threatening preterm labor were included into the clinical ...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2010-11-01 00:00:00
abstract:UNLABELLED:THE OBJECTIVES: The aim of this study was to evaluate the clinical value of blood flow indicies for differentiating between benign and malignant ovarian tumours. MATERIALS AND METHODS:Realisation of the aim was based on the analysis of examinations' results of 686 ovarian tumors. For each recorded blood flo...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:The present study aims to investigate the role of oxidant-antioxidant status in young women with polycystic ovary syndrome (PCOS). MATERIAL AND METHODS:Seventy-one women with PCOS and 53 healthy controls are compared in aspect of demographic characteristics, biochemical data, hormones, and oxidant-antioxida...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2016.0079
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To evaluate data regarding neonatal mortality and short term morbidity among iatrogenic late preterm (ILP) and spontaneous late preterm (SLP) twin births, and to estimate whether medical interventions - induction of labor in this particular context, are associated with better or poorer outcomes. MATERIAL AN...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.17772/gp/1600
更新日期:2013-06-01 00:00:00
abstract::Carcinoma of the Bartholin gland is rate, comprising less then 1% of female genital tract neoplasms. We present the case of 52-year-old female with Bartholin gland carcinoma, discuss the therapeutic problems and review the data from the world literature. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::Multiple pregnancies are considered high risk. This qualification is associated with the multitude of conditions which are known to complicated these pregnancies. Early diagnosis of these complications is the fundamental element of clinical managements. In numerous cases therapeutic protocols are widely known and in m...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:Clinical application of minimally invasive surgical techniques in gynecology continuous to increase steadily. Laparoscopic surgery has widely replaced open surgical technique in many routine cases. This method is obviously less traumatic and painful, requires a shorter hospital stay and recovery time. The aim...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2012-02-01 00:00:00
abstract:UNLABELLED:Preeclampsia is one of the most frequent and dangerous complications of a pregnancy. In preeclamptic pregnancies the spiral arteries are not modified properly. Disturbed blood flow finally leads to hypoxia which is responsible for the dysfunction of the endothelium. Endothelial growth factor (VEGF) and place...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2007-11-01 00:00:00
abstract::Cytogenetic studies were performed in 129 couples with the history of recurrent spontaneous miscarriages. In 8 couples (6.2%) chromosome aberrations were found The most frequent aberrations were reciprocal translocations (in 6 couples). Pericentric inversion of chromosome 9 was detected in 3 couples (2.3%) while the c...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1997-05-01 00:00:00