On the Rate of Tubal Pregnancy Contralateral to the Corpus Luteum

Ectopic implantation of the embryo in the tube opposite to the ovary containing the corpus luteum constitutes evidence of peritoneal or uterine transmigration of the egg. The frequency of this phenomenon was reinvestigated utilizing histopathologic confirmation of the side of the corpus luteum. A tu...

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Veröffentlicht in:Acta obstetricia et gynecologica Scandinavica 1988, Vol.67 (5), p.433-436
Hauptverfasser: Insunza, Alvaro, Pablo, Francisco de, Croxatto, D. Héctor, Letelier, Luz Marla, Morante, Monica, Croxatto, Horacio B.
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container_end_page 436
container_issue 5
container_start_page 433
container_title Acta obstetricia et gynecologica Scandinavica
container_volume 67
creator Insunza, Alvaro
Pablo, Francisco de
Croxatto, D. Héctor
Letelier, Luz Marla
Morante, Monica
Croxatto, Horacio B.
description Ectopic implantation of the embryo in the tube opposite to the ovary containing the corpus luteum constitutes evidence of peritoneal or uterine transmigration of the egg. The frequency of this phenomenon was reinvestigated utilizing histopathologic confirmation of the side of the corpus luteum. A tubal pregnancy contralateral to the ovulating ovary was found in 28% of 67 cases, indicating that either the oocyte, the zygote or the embryo had entered the tube in which implantation took place from a medial site such as the peritoneal or the uterine cavity rather than directly from the ovulating ovary. Assuming that once in the medial site there is equal chance of entering either tube, it follows that in 56% of tubal pregnancies the egg has entered the tube from a midline location. Attempts to recover the oocyte from the tubes in normal women were successful in fewer than 5% of cases contralateral to the corpus luteum. It is concluded that tubal pregnancy is associated with a significant increase in the occurrence of transmigration of the egg.
doi_str_mv 10.3109/00016348809004255
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Assuming that once in the medial site there is equal chance of entering either tube, it follows that in 56% of tubal pregnancies the egg has entered the tube from a midline location. Attempts to recover the oocyte from the tubes in normal women were successful in fewer than 5% of cases contralateral to the corpus luteum. It is concluded that tubal pregnancy is associated with a significant increase in the occurrence of transmigration of the egg.</description><identifier>ISSN: 0001-6349</identifier><identifier>EISSN: 1600-0412</identifier><identifier>DOI: 10.3109/00016348809004255</identifier><identifier>PMID: 3218462</identifier><identifier>CODEN: AOGSAE</identifier><language>eng</language><publisher>Oxford, UK: Informa UK Ltd</publisher><subject>Adult ; Biological and medical sciences ; Chile ; corpus luteum ; Corpus Luteum - pathology ; Corpus Luteum - surgery ; Diseases of mother, fetus and pregnancy ; ectopic pregnancy ; Fallopian tube ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Middle Aged ; ovum pick-up ; ovum transmigration ; ovum transport ; Pregnancy ; Pregnancy, Tubal - epidemiology ; Pregnancy, Tubal - pathology ; Pregnancy, Tubal - surgery ; Pregnancy. Fetus. 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Héctor</creatorcontrib><creatorcontrib>Letelier, Luz Marla</creatorcontrib><creatorcontrib>Morante, Monica</creatorcontrib><creatorcontrib>Croxatto, Horacio B.</creatorcontrib><title>On the Rate of Tubal Pregnancy Contralateral to the Corpus Luteum</title><title>Acta obstetricia et gynecologica Scandinavica</title><addtitle>Acta Obstet Gynecol Scand</addtitle><description>Ectopic implantation of the embryo in the tube opposite to the ovary containing the corpus luteum constitutes evidence of peritoneal or uterine transmigration of the egg. The frequency of this phenomenon was reinvestigated utilizing histopathologic confirmation of the side of the corpus luteum. A tubal pregnancy contralateral to the ovulating ovary was found in 28% of 67 cases, indicating that either the oocyte, the zygote or the embryo had entered the tube in which implantation took place from a medial site such as the peritoneal or the uterine cavity rather than directly from the ovulating ovary. Assuming that once in the medial site there is equal chance of entering either tube, it follows that in 56% of tubal pregnancies the egg has entered the tube from a midline location. Attempts to recover the oocyte from the tubes in normal women were successful in fewer than 5% of cases contralateral to the corpus luteum. It is concluded that tubal pregnancy is associated with a significant increase in the occurrence of transmigration of the egg.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Chile</subject><subject>corpus luteum</subject><subject>Corpus Luteum - pathology</subject><subject>Corpus Luteum - surgery</subject><subject>Diseases of mother, fetus and pregnancy</subject><subject>ectopic pregnancy</subject><subject>Fallopian tube</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>ovum pick-up</subject><subject>ovum transmigration</subject><subject>ovum transport</subject><subject>Pregnancy</subject><subject>Pregnancy, Tubal - epidemiology</subject><subject>Pregnancy, Tubal - pathology</subject><subject>Pregnancy, Tubal - surgery</subject><subject>Pregnancy. Fetus. 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ispartof Acta obstetricia et gynecologica Scandinavica, 1988, Vol.67 (5), p.433-436
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Biological and medical sciences
Chile
corpus luteum
Corpus Luteum - pathology
Corpus Luteum - surgery
Diseases of mother, fetus and pregnancy
ectopic pregnancy
Fallopian tube
Female
Gynecology. Andrology. Obstetrics
Humans
Medical sciences
Middle Aged
ovum pick-up
ovum transmigration
ovum transport
Pregnancy
Pregnancy, Tubal - epidemiology
Pregnancy, Tubal - pathology
Pregnancy, Tubal - surgery
Pregnancy. Fetus. Placenta
title On the Rate of Tubal Pregnancy Contralateral to the Corpus Luteum
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