Retained viable single intrauterine pregnancy after vacuum aspiration for a dichorionic-diamniotic twin pregnancy.

Abstract:

BACKGROUND:Retained viable intrauterine pregnancy is an infrequent complication of vacuum aspiration. We report a case of a retained single intrauterine pregnancy after an elective vacuum aspiration of a dichorionic-diamniotic twin gestation. CASE:A patient presented to the emergency department reporting vaginal spotting, breast engorgement, and lower abdominal cramping for the previous 2 weeks. The patient had had an elective abortion 2 months previously. Transvaginal ultrasonography revealed an apparent twin gestational sac within the uterus. The presenting gestational sac contained a mixture of blood clot and tissue with no discernible fetal parts. The second sac contained a live fetus of approximately 15 weeks of gestation. CONCLUSION:An underreported complication of vacuum aspiration is a retained viable intrauterine pregnancy. There is a role for postoperative ultrasonography in complicated cases such as twin gestations or in very early pregnancies to avoid retained products of conception or the infrequent case of retained viable intrauterine pregnancy.

journal_name

Obstet Gynecol

authors

Asemota OA,Podolsky ML

doi

10.1097/AOG.0b013e3181dd1fac

subject

Has Abstract

pub_date

2010-08-01 00:00:00

pages

494-496

eissn

0029-7844

issn

1873-233X

pii

00006250-201008001-00009

journal_volume

116 Suppl 2

pub_type

杂志文章
  • Lamellar body counts compared with traditional phospholipid analysis as an assay for evaluating fetal lung maturity.

    abstract:OBJECTIVE:To compare lamellar body counts with the lecithin/sphingomyelin ratio and phosphatidylglycerol analysis in terms of assessment of risk of respiratory distress syndrome (RDS). METHODS:Lamellar body counts, lecithin-sphingomyelin ratios (L/Ss), and phosphatidylglycerol levels were assessed in 1611 amniotic flu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0029-7844(00)01133-9

    authors: Neerhof MG,Haney EI,Silver RK,Ashwood ER,Lee IS,Piazze JJ

    更新日期:2001-02-01 00:00:00

  • Evaluation of the protein C global assay during normal pregnancy and after assisted reproduction.

    abstract:OBJECTIVE:To prospectively compare the Protein C Global assay results in a cohort of infertile women who conceived after assisted reproductive technology (ART) with results from women who conceived spontaneously. METHODS:Sixty-four infertile women who conceived after ART and 47 fertile women who conceived spontaneousl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181db67f3

    authors: Younis JS,Shukha M,Ben-Ami M,Izhaki I,Blumenfeld Z,Brenner B,Sarig G

    更新日期:2010-05-01 00:00:00

  • Glycohemoglobin determinations in normal pregnancy and in insulin-dependent diabetics.

    abstract::Minor components of adult hemoglobin (A1a,b, and c) are known to increase in the presence of sustained elevations of maternal blood glucose. This study demonstrates the correlation between glycosylated hemoglobin components and the usual shorter term indices of diabetic control. In addition, a correlation was noted be...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Vintzileos AM,Thompson JP

    更新日期:1980-10-01 00:00:00

  • Dysgerminoma in the differential diagnosis of hydatidiform mole.

    abstract::Serum measurements of beta-human chorionic gonadotropin (beta-hCG) for pregnancy tests are now positive at very low levels (25 mIU/mL). Sonography is the diagnostic method of choice for patients with the possibility of intrauterine trophoblastic disease. A case is reported in which ultrasound confused an ovarian neopl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198603001-00027

    authors: Roberts DK,Wells MM,Horbelt DV

    更新日期:1986-03-01 00:00:00

  • An outcomes management program in gynecologic oncology.

    abstract:OBJECTIVE:To evaluate the effectiveness of an outcomes-management program designed to provide high-quality patient care, generate data for outcomes research, and decrease costs in a managed-care environment. METHODS:An outcomes-management program was launched in June 1994, based on the elimination of wasteful or ineff...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/S0029-7844(97)00008-2

    authors: Morris M,Levenback C,Burke TW,Dejesus Y,Lucas KR,Gershenson DM

    更新日期:1997-04-01 00:00:00

  • Medical liability reform: a case study of Mississippi.

    abstract::Mississippi enacted medical negligence and other tort reform legislation that generally became effective for causes of action filed on or after January 1, 2003, and September 1, 2004. Data regarding lawsuits against physicians insured by the Medical Assurance Company of Mississippi (MACM), the largest medical liabilit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e318226ba47

    authors: Behrens MA

    更新日期:2011-08-01 00:00:00

  • Birth Behind Bars: The Need for Labor Support in the Incarcerated Population.

    abstract::The population of women within carceral systems is growing rapidly. A portion of these individuals are pregnant and will deliver while incarcerated. Although shackling laws for pregnant persons have improved, incarcerated patients are forced to labor without the support of anyone but a carceral officer and their medic...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004119

    authors: Dahl CM,Geynisman-Tan JM,Premkumar A

    更新日期:2020-11-01 00:00:00

  • Pregnancy screening by uterine artery Doppler velocimetry--which criterion performs best?

    abstract:OBJECTIVE:To test whether repeating Doppler studies of the uteroplacental circulation late in gestation will improve the test's power for predicting pregnancy-induced hypertension and fetal growth restriction (FGR), and whether analysis based on a combination of quantitative and qualitative assessments of the uterine a...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0029-7844(95)00006-D

    authors: Chan FY,Pun TC,Lam C,Khoo J,Lee CP,Lam YH

    更新日期:1995-04-01 00:00:00

  • Vaginal yeast colonization in nonpregnant women: a longitudinal study.

    abstract:OBJECTIVE:We sought to investigate the prevalence and risk factors for vaginal yeast colonization over a 1-year period. METHODS:We conducted a longitudinal cohort study of 1,248 asymptomatic young women by collecting demographic and behavioral data at baseline, 4, 8, and 12 months. RESULTS:Seventy percent of women we...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000140687.51048.73

    authors: Beigi RH,Meyn LA,Moore DM,Krohn MA,Hillier SL

    更新日期:2004-11-01 00:00:00

  • The effect of L-dopa and clomiphene citrate on peripheral plasma levels of luteinizing hormone-releasing factor.

    abstract::Response of luteinizing hormone-releasing factor (LRF) and gonadotropin levels to orally administered L-dopa and clomiphene citrate were measured in 13 healthy female volunteers. Testing was carried out during the early follicular phase of the menstrual cycle. The results indicated a suggestive but statistically nonsi...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Polansky S,Muechler E,Sorrentino S Jr

    更新日期:1976-07-01 00:00:00

  • Endodermal sinus tumor arising in the endometrium.

    abstract::A case of primary endodermal sinus tumor (EST) of the endometrium in a 28-year-old woman is described. EST has been reported to arise in several extragonadal sites, but to the authors' knowledge this is the first documented instance of origin in the endometrium. The histologic study is verified by the detection of alp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Pileri S,Martinelli G,Serra L,Bazzocchi F

    更新日期:1980-09-01 00:00:00

  • New instrumentation and technique for laparoscopic carbon dioxide laser operations: a preliminary report.

    abstract::Laparoscopic surgery, the accepted procedure for several indications, still has some limitations, mainly due to the risk of uncontrollable bleeding and damage to the surrounding tissues that may result from the procedure. With the advent of the surgical carbon dioxide laser apparatus and its advantage in producing a b...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Tadir Y,Kaplan I,Zuckerman Z,Edelstein T,Ovadia J

    更新日期:1984-04-01 00:00:00

  • ACOG Committee Opinion No. 409: Direct-to-consumer marketing of genetic testing.

    abstract::Marketing of genetic testing, although similar to direct-to-consumer advertising of prescription drugs, raises additional concerns and considerations. These include issues of limited knowledge among patients and health care providers of available genetic tests, difficulty in interpretation of genetic testing results, ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0b013e31817d250e

    authors: Committee on Genetics, American College of Obstetricians and Gynecologists.,Committee on Ethics, American College of Obstetricians and Gynecologists.

    更新日期:2008-06-01 00:00:00

  • Comparative efficacy of two sonographic measurements for the detection of aberrations in the amniotic fluid volume and the effect of amniotic fluid volume on pregnancy outcome.

    abstract:OBJECTIVE:To determine in pregnant women with preterm labor the relative efficacy of the amniotic fluid index (AFI) and the two-diameter pocket to detect abnormalities in amniotic fluid volume (AFV), and to relate these findings to pregnancy outcome. METHODS:Fifty-seven healthy women with preterm labor underwent amnio...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-199406000-00012

    authors: Magann EF,Morton ML,Nolan TE,Martin JN Jr,Whitworth NS,Morrison JC

    更新日期:1994-06-01 00:00:00

  • Cytologic examination of ovarian cyst fluid for the distinction between benign and malignant tumors.

    abstract:OBJECTIVE:To assess the feasibility of using cytologic examination of ovarian cyst fluid for distinguishing between benign and malignant tumors. METHODS:Cyst fluid was aspirated at surgery in 83 women with benign and 35 women with malignant (25 invasive and ten borderline) ovarian tumors and submitted for routine cyto...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Moran O,Menczer J,Ben-Baruch G,Lipitz S,Goor E

    更新日期:1993-09-01 00:00:00

  • Abdominopelvic computed tomography: evaluation in patients undergoing second-look laparotomy for ovarian carcinoma.

    abstract::Preoperative abdominopelvic computed tomography results and operative findings were compared in 52 patients undergoing second-look laparotomy to confirm tumor status. Seventeen true-negative, 22 false-negative, and 13 true-positive scans were found. The sensitivity was 0.38, specificity was 1.0, and diagnostic accurac...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Brenner DE,Shaff MI,Jones HW,Grosh WW,Greco FA,Burnett LS

    更新日期:1985-05-01 00:00:00

  • Cloacal dysgenesis.

    abstract::Cloacal dysgenesis is a rare anomaly. Fifty cases have been reported in the literature. This condition differs from the usual imperforate anus. The diagnosis, evaluation, and therapeutic management require an understanding of the embryogenesis of the cloaca. The presence at birth of a single interlabial orifice or an ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Okonkwo JE,Crocker KM

    更新日期:1977-07-01 00:00:00

  • Thyroid Disease in Pregnancy: ACOG Practice Bulletin, Number 223.

    abstract::Both thyrotoxicosis and hypothyroidism are associated with adverse pregnancy outcomes. There also is concern about the effect of overt maternal thyroid disease on fetal development. In addition, medications that affect the maternal thyroid gland can cross the placenta and affect the fetal thyroid gland. This document ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/AOG.0000000000003893

    authors:

    更新日期:2020-06-01 00:00:00

  • What is new in exercise in pregnancy? Best articles from the past year.

    abstract::This month we focus on current research in exercise in pregnancy. Dr. Blanchette discusses four recent publications, and each is concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to the abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000658

    authors: Blanchette HA

    更新日期:2015-02-01 00:00:00

  • Factors predicting successful labor induction.

    abstract:OBJECTIVE:To evaluate maternal parity, the sonographic measurement of cervical length, and the five components of the Bishop score to determine which factors best predict the length of latent-phase labor in women undergoing labor induction. METHODS:Cervical position, cervical consistency, cervical effacement, cervical...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(96)00321-3

    authors: Watson WJ,Stevens D,Welter S,Day D

    更新日期:1996-12-01 00:00:00

  • Endometrial expression of Cyr61: a marker of estrogenic activity in normal and abnormal endometrium.

    abstract:OBJECTIVE:To compare the expression of Cyr61 in normal cycling endometrium with endometrium from women with polycystic ovarian syndrome (PCOS) and endometrial hyperplasia and adenocarcinoma. METHODS:This is a retrospective study of 59 samples of normal and abnormal endometrium. Endometrial biopsies were obtained from ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000269047.46078.28

    authors: MacLaughlan SD,Palomino WA,Mo B,Lewis TD,Lininger RA,Lessey BA

    更新日期:2007-07-01 00:00:00

  • Effect of type of anesthesia on blood loss at cesarean section.

    abstract::Halogenated anesthetic agents have been used to supplement nitrous oxide during balanced general anesthesia for cesarean delivery to decrease maternal awareness. However, these agents can interfere with uterine contractility and hence have the potential to increase blood loss at the time of cesarean section. To ascert...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gilstrap LC 3rd,Hauth JC,Hankins GD,Patterson AR

    更新日期:1987-03-01 00:00:00

  • Single- versus three-dose cefotaxime prophylaxis for cesarean section.

    abstract::A prospective randomized study was undertaken in 100 patients undergoing cesarean section to evaluate the efficacy of cefotaxime when given as a single-dose versus the more traditional triple-dose regimen for prophylaxis. Analysis of the results demonstrated no significant differences in febrile morbidity (14 versus 2...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Gonik B

    更新日期:1985-02-01 00:00:00

  • Obstetric complications after treatment of intrauterine synechiae (Asherman's syndrome).

    abstract::This review comprises 36 patients who were treated for Asherman's syndrome from 1968 to 1974 at the Sloane Hospital for Women. Of the 18 patients who later conceived only 6 had uncomplicated term deliveries. Four had premature deliveries resulting in neonatal death. Three had placenta accreta and postpartum hemorrhage...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Jewelewicz R,Khalaf S,Neuwirth RS,Vande Wiele RL

    更新日期:1976-06-01 00:00:00

  • The association between maternal serum alpha-fetoprotein and preterm birth, small for gestational age infants, preeclampsia, and placental complications.

    abstract:OBJECTIVE:To determine whether high levels of serum alpha-fetoprotein (AFP) predict increased risk of adverse pregnancy outcomes, including preterm birth (before 37 weeks), preterm birth occurring at or before 28 weeks, small for gestational age (SGA) infant, preeclampsia, and placental abnormalities, and to determine ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00310-9

    authors: Waller DK,Lustig LS,Cunningham GC,Feuchtbaum LB,Hook EB

    更新日期:1996-11-01 00:00:00

  • Prospective Validation of a Standardized Ultrasonography-Based Ovarian Cancer Risk Assessment System.

    abstract:OBJECTIVE:To evaluate the performance of a system that standardizes ovarian cancer risk assessment and reporting on ultrasonography. METHODS:We conducted a prospective community-based cohort study of average-risk women undergoing ultrasonography in 2016 using a reporting system that requires adnexal masses to be categ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002939

    authors: Suh-Burgmann E,Flanagan T,Osinski T,Alavi M,Herrinton L

    更新日期:2018-11-01 00:00:00

  • Rapid fetal lung maturity testing: commercial versus NBD-phosphatidylcholine assay.

    abstract::We compared the TDx Fetal Lung Maturity test and the fluorescence polarization method using 1-palmitoyl-2(6-[(7-nitro-2,1,3-benzoxadiazol-4- yl)amino]caproyl)phosphatidylcholine (NBD-phosphatidylcholine). Using 76 paired human amniotic fluid samples, the fluorescence polarization values of the two methods were found t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Ashwood ER,Palmer SE,Lenke RR

    更新日期:1992-12-01 00:00:00

  • Evaluation of the 1977 CREOG in-training examination.

    abstract::Questionnaires dealing with the 1977 in-training examination for residents in obstetrics and gynecology were sent to residency directors and residents. More than 70% were returned. Responses indicated a generally positive view of the examination, especially the multiple-choice questions (MCQs). There was strong suppor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Holzman GB,Bridgham RG,Easterling WE Jr

    更新日期:1980-01-01 00:00:00

  • Postpartum renal failure: a complex case with probable coexistence of hemolysis, elevated liver enzymes, low platelet count, and hemolytic uremic syndrome.

    abstract:BACKGROUND:Postpartum renal failure in previously healthy subjects is associated most often with preeclampsia and/or hypertension; hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome, hemolytic uremic syndrome; or thrombotic thrombocytopenic purpura. Transient oliguria associated with preeclampsia is comm...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00196-3

    authors: Kahra K,Draganov B,Sund S,Hovig T

    更新日期:1998-10-01 00:00:00

  • Placenta previa percreta involving the urinary bladder: a report of two cases and review of the literature.

    abstract::The incidences of both placenta previa and placenta accreta are increased in patients with scarred uteri, and patients with uterine scars and placenta previa are at increased risk for also having placenta accreta. Two cases are presented of placenta previa percreta with involvement of the urinary bladder necessitating...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Price FV,Resnik E,Heller KA,Christopherson WA

    更新日期:1991-09-01 00:00:00