The pathologic spectrum of uterotubal junction obstruction.

Abstract:

:Excised tubal segments from 42 women with uterotubal junction obstruction were studied histologically to evaluate the pathologic spectrum of disease and correlate this with clinical data. The most frequent lesion encountered was obliterative fibrosis (38.1%), confirmed by connective tissue stains, which was not associated with cornual nodularity. Other pathologic entities included salpingitis isthmica nodosa (23.8%), intramucosal endometriosis (14.3%), and chronic tubal inflammation (21.4%). Intramucosal endometriosis was distinguishable from salpingitis isthmica nodosa by virtue of its unique stroma confirmed by connective tissue staining. Women with previous pregnancies were included in all the groups. In all instances, the obstruction was present in the transmural portion of the tube and extended a variable distance into the isthmic segment. These observations on uterotubal junction obstruction demonstrate that: 1) There are multiple distinct histologic patterns, 2) Intraabdominal findings do not predict the histology of the uterotubal junction pathology, 3) Any histologic pattern can be associated with a previous intrauterine or ectopic pregnancy, and 4) The obstruction begins within the transmural portion of the oviduct, extends a variable distance into the isthmic segment, but does not obstruct the ampullary segment. These data suggest that the initiating process originates within the uterus and that fibrosis may represent a nonspecific response to chronic injury of the transmural and isthmic segments of the oviduct.

journal_name

Obstet Gynecol

authors

Fortier KJ,Haney AF

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

93-8

issue

1

eissn

0029-7844

issn

1873-233X

journal_volume

65

pub_type

杂志文章
  • Variant iliocaval confluence discovered during sacrocolpopexy.

    abstract:BACKGROUND:Laceration of the iliac veins and their branches is a feared complication in abdominal sacral colpopexy. Hemorrhages can be extensive and difficult to control. CASE:We report a case of a patient who, while undergoing abdominal sacral colpopexy, was found to have confluence of the iliac veins at the level of...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182062053

    authors: Lazarou G,Rahimi S,Cui N,Zormpa M

    更新日期:2011-02-01 00:00:00

  • A prospective comparison of hourly and quarter-hourly oxytocin dose increase intervals for the induction of labor at term.

    abstract::Fifty-two women undergoing labor induction and vaginal delivery at term were randomized between two oxytocin infusion protocols, involving hourly versus quarter-hourly increases in dose. Potential differences were sought of duration of labor, amount of uterine activity generated, and amount of oxytocin required. Start...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Blakemore KJ,Qin NG,Petrie RH,Paine LL

    更新日期:1990-05-01 00:00:00

  • Percutaneous nephrostomy and ureteral stenting in gynecologic malignancies.

    abstract:OBJECTIVE:To identify the indications, complications, and efficacy of percutaneous nephrostomies and ureteral stents in women with gynecologic cancer. METHODS:In a retrospective study, 40 women underwent urinary diversion with percutaneous nephrostomy and ureteral stents. Nine had ureteral stenosis on initial presenta...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Barton DP,Morse SS,Fiorica JV,Hoffman MS,Roberts WS,Cavanagh D

    更新日期:1992-11-01 00:00:00

  • Combined deficiency of factors II, VII, IX, and X (Borgschulte-Grigsby deficiency) in pregnancy.

    abstract:BACKGROUND:Combined deficiency of vitamin K-dependent coagulation factors (II, VII, IX, X) is an uncommon challenge for the expectant gravida. CASE:A 34-year-old primigravida had congenital combined deficiency of factors II, VII, IX, and X that were incompletely sensitive to vitamin K. She had an altered form of vitam...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01214-x

    authors: McMahon MJ,James AH

    更新日期:2001-05-01 00:00:00

  • Association of Pharmacist Prescription of Hormonal Contraception With Unintended Pregnancies and Medicaid Costs.

    abstract:OBJECTIVE:To estimate unintended pregnancies averted and the cost effectiveness of pharmacist prescription of hormonal contraception. METHODS:A decision-analytic model was developed to determine the cost effectiveness of expanding the scope of pharmacists to prescribe hormonal contraception compared with the standard ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003265

    authors: Rodriguez MI,Hersh A,Anderson LB,Hartung DM,Edelman AB

    更新日期:2019-06-01 00:00:00

  • Economic burden of hospitalizations for preterm labor in the United States.

    abstract:OBJECTIVE:To determine patient factors associated with hospital care costs for preterm labor and to develop a clinically applicable cost model for evaluating economic consequences of interventions to reduce preterm-labor hospitalizations. METHODS:Maryland state hospital discharge data from 1993-1996 were used to ident...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)00863-2

    authors: Nicholson WK,Frick KD,Powe NR

    更新日期:2000-07-01 00:00:00

  • The diagnosis of gonorrhea in a low-prevalence female population: enzyme immunoassay versus culture.

    abstract::In a low-prevalence population for sexually transmitted disease, accurate methods of identifying Neisseria gonorrhoeae infections are of paramount importance. Tests with low sensitivity are of concern to each practitioner. Of no less concern, however, are the possible social and emotional consequences of a false-posit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lieberman RW,Wheelock JB

    更新日期:1987-05-01 00:00:00

  • Cephalothoracopagus (Janiceps) twinning.

    abstract::Conjoined twins occur with a frequency of 1/50,000--1/100,000 deliveries. The cephalothoracopagus variety is particularly rare. This paper presents a case report of cephalothoracopagus (Janiceps) twinning, with a detailed pathologic analysis, as well as an historical review and discussion of diagnostic modalities. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wedberg R,Kaplan C,Leopold G,Porreco R,Resnik R,Benirschke K

    更新日期:1979-09-01 00:00:00

  • Determinants of survival of surgically staged patients with endometrial carcinoma histologically confined to the uterus: implications for therapy.

    abstract:OBJECTIVE:To determine the factors that influence the survival of patients with endometrial carcinoma histologically confined to the uterus. METHODS:Retrospective analysis was conducted of 262 surgically staged cases using multiple regression (Cox proportional hazards model). RESULTS:After excluding patients with cle...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kadar N,Malfetano JH,Homesley HD

    更新日期:1992-10-01 00:00:00

  • Cannabinoid hyperemesis syndrome: a cause of refractory nausea and vomiting in pregnancy.

    abstract:BACKGROUND:Cannabinoid hyperemesis syndrome is a condition present among chronic cannabis users resulting in abdominal pain, intractable nausea and vomiting, and compulsive bathing behaviors. Given the recent legalization of marijuana in certain areas of the United States, the incidence of this condition may increase a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000595

    authors: Alaniz VI,Liss J,Metz TD,Stickrath E

    更新日期:2015-06-01 00:00:00

  • Balloon cervical ripening with extra-amniotic infusion of saline or prostaglandin E2: a double-blind, randomized controlled study.

    abstract:OBJECTIVE:To compare extra-amniotic infusion of diluted prostaglandin (PG) E2 solution with saline infusion in balloon cervical ripening and labor induction. METHODS:Women with pregnancy complications and Bishop scores of 3 or lower (n = 116) were assigned randomly to receive extra-amniotic infusion (1 mL/minute) of n...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(00)01168-6

    authors: Sherman DJ,Frenkel E,Pansky M,Caspi E,Bukovsky I,Langer R

    更新日期:2001-03-01 00:00:00

  • Occurrence of ovarian malignancy in childhood and adolescence: a community-wide evaluation.

    abstract::During childhood and adolescence, the rate of malignancy in ovarian enlargement is reported to be high-approximately 35% in many large series from tertiary centers. To assess whether this represents an overestimation because of the referral patterns of these institutions, a retrospective review was conducted at five h...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Diamond MP,Baxter JW,Peerman CG Jr,Burnett LS

    更新日期:1988-06-01 00:00:00

  • Antepartum external cephalic version under tocolysis.

    abstract::Reported are 172 patients considered for external cephalic version at gestational age greater than 37 weeks. Their outcome was compared with 40 similar patients in whom external version was not attempted. One hundred fifty-eight patients had attempted version, and success was achieved in 122 (77%). Intrapartum vertex ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dyson DC,Ferguson JE 2nd,Hensleigh P

    更新日期:1986-01-01 00:00:00

  • Previous tubal ligation is a risk factor for hysterectomy after rollerball endometrial ablation.

    abstract:OBJECTIVE:To determine risk factors for hysterectomy, pelvic pain, and continued menorrhagia after rollerball endometrial ablation. METHODS:All women having rollerball endometrial ablations between 1990 and 2000 were sent standardized questionnaires on pre- and postablation symptoms, satisfaction with the ablation, an...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(02)02185-3

    authors: Mall A,Shirk G,Van Voorhis BJ

    更新日期:2002-10-01 00:00:00

  • The prevention of meconium aspiration in labor using amnioinfusion.

    abstract::In an effort to improve maternal and fetal outcome in patients laboring with thick meconium, 85 patients presenting with thick meconium were randomized to receive either amnioinfusion with 1000 mL normal saline initially and every 6 hours until delivery, or routine care. Meconium was discovered on initial examination ...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Wenstrom KD,Parsons MT

    更新日期:1989-04-01 00:00:00

  • Adenocarcinoma of the vagina in a patient with gonadal dysgenesis.

    abstract::Adenocarcinoma of the vagina is an uncommon tumor. Many theories have been postulated for its etiology and tissue origin. Its occurrence in young women exposed in utero to diethylstilbestrol has pointed to estrogen influence as a possible etiologic factor. A case of adenocarcinoma of the vagina in a patient with gonad...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Shingleton HM,Younger JB,Beasley WE,Levy D,Gore H,Lawrence WD

    更新日期:1979-03-01 00:00:00

  • Development of a multiple marker test for ectopic pregnancy.

    abstract:OBJECTIVE:Many serum markers have been proposed to aid in the identification of an ectopic pregnancy, but few have been validated. Most studies have been limited by sample size and design. The goal of this study was to assess putative markers to identify which can be optimally combined. METHODS:We conducted a case-con...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1097/AOG.0b013e31820b3c61

    authors: Rausch ME,Sammel MD,Takacs P,Chung K,Shaunik A,Barnhart KT

    更新日期:2011-03-01 00:00:00

  • Head-to-cervix forces and their relationship to the outcome of labor.

    abstract::The force (as distinct from pressure) between the fetal head and the maternal cervix during labor was measured for the first time in an attempt to improve the intrapartum prediction of progress in labor. The 50th percentile of the variables active pressure and active force and the mean uterine activity integral were c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gough GW,Randall NJ,Genevier ES,Sutherland IA,Steer PJ

    更新日期:1990-04-01 00:00:00

  • Gynecologic Care in Women With Down Syndrome: Findings From a National Registry.

    abstract:OBJECTIVE:To estimate receipt of recommended gynecologic care, including cancer screening and menstrual care, among women with Down syndrome in the United States. METHODS:We conducted a retrospective cohort study of women participating in DS-Connect, the National Institute of Health's registry of women with Down syndr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003997

    authors: Smith AJB,Applebaum J,Tanner EJ,Capone GT

    更新日期:2020-09-01 00:00:00

  • Effect of a levonorgestrel intrauterine system on women with type 1 diabetes: a randomized trial.

    abstract:OBJECTIVE:Women with diabetes need safe, effective contraception. Although intrauterine devices provide superior contraception, concerns remain that progestin absorbed systemically from the levonorgestrel-releasing device may impair carbohydrate metabolism. To examine the effect of the levonorgestrel-releasing intraute...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000156301.11939.56

    authors: Rogovskaya S,Rivera R,Grimes DA,Chen PL,Pierre-Louis B,Prilepskaya V,Kulakov V

    更新日期:2005-04-01 00:00:00

  • Committee Opinion No. 723 Summary: Guidelines for Diagnostic Imaging During Pregnancy and Lactation.

    abstract::Imaging studies are important adjuncts in the diagnostic evaluation of acute and chronic conditions. However, confusion about the safety of these modalities for pregnant and lactating women and their infants often results in unnecessary avoidance of useful diagnostic tests or the unnecessary interruption of breastfeed...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000002350

    authors:

    更新日期:2017-10-01 00:00:00

  • Prognostic factors associated with recurrence in clinical stage I adenocarcinoma of the endometrium.

    abstract::Two hundred sixty-four consecutive patients with clinical stage I endometrial adenocarcinoma who underwent primary surgical therapy between July 1979 and August 1988 were followed prospectively and evaluated for disease recurrence for 8-112 months (mean 51.5). Thirty-three patients (12.5%) developed recurrence or died...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Lurain JR,Rice BL,Rademaker AW,Poggensee LE,Schink JC,Miller DS

    更新日期:1991-07-01 00:00:00

  • Effectiveness of treatment strategies of some women with pelvic inflammatory disease: a randomized trial.

    abstract:OBJECTIVE:Among all women with pelvic inflammatory disease (PID), prevention of adverse reproductive consequences appears to be similarly achieved by outpatient treatment and inpatient treatment. We assessed whether outpatient is as effective as inpatient treatment in relevant age, race, and clinical subgroups of women...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.AOG.0000175193.37531.6e

    authors: Ness RB,Trautmann G,Richter HE,Randall H,Peipert JF,Nelson DB,Schubeck D,McNeeley SG,Trout W,Bass DC,Soper DE

    更新日期:2005-09-01 00:00:00

  • Transdermal drug delivery: clinical considerations for the obstetrician-gynecologist.

    abstract:INTRODUCTION:The first transdermal drug delivery system was introduced in the United States over 20 years ago. Created as an alternative route of administration to improve patient compliance as well as to reduce side effects, the transdermal delivery of drugs now represents a $1.5 to $2 billion market and is growing ra...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000161958.70059.db

    authors: Potts RO,Lobo RA

    更新日期:2005-05-01 00:00:00

  • Intrapartum fetal cardiac arrhythmias.

    abstract::Fifteen cases of fetal cardiac arrhythmia were detected by direct fetal electrocardiogram (FECG) during intrapartum fetal monitoring. The frequency of arrhythmia of 12.4/1000 monitored births. Thirteen of the arrhythmias were supraventricular. Atrial bigeminy was the most commonly observed arrhythmia, followed by atri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Young BK,Katz M,Klein SA

    更新日期:1979-10-01 00:00:00

  • Microsurgical tubal reanastomosis--the role of splints.

    abstract::Tubal reanastomosis was performed in 32 patients using microsurgical techniques. In 25 women, occlusion was due to prior sterilization. A splint was not used during or after repair. Intrauterine pregnancy occurred in 21 (84%) and fetal loss in 6% of 17 potentially viable pregnancies. The mean midluteal serum progester...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Meldrum DR

    更新日期:1981-05-01 00:00:00

  • Metabolic syndrome as a risk factor for hypertension after preeclampsia.

    abstract:OBJECTIVE:To identify metabolic and obstetric risk factors associated with hypertension after preeclampsia. METHODS:We analyzed demographic and clinical data from a postpartum screening (blood pressure, microalbuminuria and fasting plasma levels of glucose, insulin, and lipid profile) from 683 primiparous women with a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31825f21ff

    authors: Spaan JJ,Sep SJ,van Balen VL,Spaanderman ME,Peeters LL

    更新日期:2012-08-01 00:00:00

  • Differences in cervical cancer mortality among black and white women.

    abstract:OBJECTIVE:To determine whether stage of disease and treatment patterns account for mortality differences between black and white women with cervical cancer. METHODS:Using data obtained from the Surveillance, Epidemiology, and End Results (SEER) Program for 1988-1994, we determined the associations between race and sta...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(99)00334-8

    authors: Howell EA,Chen YT,Concato J

    更新日期:1999-10-01 00:00:00

  • Screening and Management of Bleeding Disorders in Adolescents With Heavy Menstrual Bleeding: ACOG COMMITTEE OPINION SUMMARY, Number 785.

    abstract::Heavy menstrual bleeding is defined as excessive menstrual blood loss that interferes with a woman's physical, social, emotional, or material quality of life. If obstetrician-gynecologists suspect that a patient has a bleeding disorder, they should work in coordination with a hematologist for laboratory evaluation and...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003412

    authors:

    更新日期:2019-09-01 00:00:00

  • Neurodevelopmental Outcome After a Single Course of Antenatal Steroids in Children Born Preterm: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:To systematically review and integrate data on the neurodevelopmental outcome of children after administration of a single course of antenatal corticosteroids for threatened preterm labor. DATA SOURCES:MEDLINE, Scopus, CENTRAL, and www.clinicaltrials.gov (inception to August 2014) using combinations of the t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/AOG.0000000000000748

    authors: Sotiriadis A,Tsiami A,Papatheodorou S,Baschat AA,Sarafidis K,Makrydimas G

    更新日期:2015-06-01 00:00:00