Browsing by Author "Terzić, M. (55519713300)"

Aim. Multiparity was reported as one of the risk factors for biliopancreatic diseases, like gallstones or even cancer appearance. Our study was performed to investigate does the number of carried out pregnancies influences the caliber of the main pancreatic duct. Methods. The studied group consisted of 74 ultrasonographically examined women, 44 in the experimental group, out of whom 12 had one delivery, 20 had two and 12 had at least three labors. The control group was formed of 30 nulliparous women. They were all aged 41 to 60. Results. Revealed diameters of pancreatic duct gradually increased in the function of term deliveries number: in the head -1.69 (one delivery) to 2.37 mm (three or more deliveries); in the body: 1.52-2.16 mm and in the tail 1.4-2.0 mm. The parameter increase significantly correlated with number of full term deliveries, while body mass index showed the milder influence on the obtained parameters. Conclusion. The most prominent increase of the Wirsung's duct diameter, according to our results, appears to be the aftermath of the second healthy pregnancy. Nevertheless, despite obtained correlation between parameters of the Wirsung's duct on one, and number of pregnancies and body mass index on the other side, our results did not surpass ranges of already accepted as normal.

The diagnosis of ovarian pregnancy is based on the improper rise of serum beta-hCG levels, sonographic findings of an empty uterus, highly characteristic ovarian formation with double hyperechogenic ring surrounding small hypoechogenic field, and the laparoscopic verification of Spiegelberg's criteria. We present a case of ovarian pregnancy in spontaneous cycle in 34-year-old woman following two unsuccessful IVF/ET procedures and ovarian pregnancy on contralateral side laparoscopically treated seven months ago, also achieved in non-stimulated, spontaneous cycle. On admission she had a serum hCG level of 596 mIU/mL on cycle day 46 and an empty uterus. Transvaginal sonography showed a 20 mm ring-like thick-walled hyperechogenic structure within the left ovary. The echogenic ring was surrounded by irregular, hypoechogenic structures suggestive of an ovarian pregnancy with periluteal hemorrhage and blood clots. The ruptured cystic ovarian pregnancy and the corpus luteum were removed by laparoscopy. During the procedure we have seen two clips on the fight ovary placed laparoscopically to achieve hemostasis after rupture of the ovarian pregnancy seven months ago. Histopathology showed isolated chorionic villi within hemorrhagic areas in the vicinity of the corpus luteum.