Browsing by Author "Vaidya, Sapana Amatya"
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Publication Fundal Intramural Pregnancy: An Unusual and Rare Form of Ectopic Pregnancy(Rapti Academy of Health Sciences (RAHS), 2024) Joshi, Basant Raj; Vaidya, Sapana Amatya; Jha, Meena; Shakya, Madhu; Dahal, Bibhuti; Sharma, PrasansaAbstract: Intramural pregnancy is a rare type of ectopic pregnancy and difficult to diagnose. A 42-year-old woman, who has no past history of uterine surgeries, nor fertility treatment, presented with a fundal abnormal mass with diagnostic dilemma with invasive mole. Laparotomy with hysterectomy was performed. Histopathology and immunohistochemistry confirmed as fundal intramural ectopic pregnancy. The postoperative course was uneventful. Keywords: Case Report, Ectopic Pregnancy, Intramural Pregnancy, Fundal Pregnancy, Intramural ectopic pregnancy, Fundal intramural ectopic pregnancy, Rare form of ectopic pregnancyPublication Immature Teratoma in Pregnancy: A Case Report(Nepal Medical Association, 2023) Vaidya, Sapana Amatya; Rai, Snigdha; Jha, AnushreeAbstract Immature teratoma is one of the rare malignant germ cell tumours presented in pregnancy. Here, we present 26-year-old pregnant women who had an incidental finding of left adnexal mass in an anomaly scan at 19 weeks of pregnancy. Laparotomy with peritoneal fluid cytology, left salpingo-oophorectomy and omental biopsy at 20 weeks of pregnancy revealed immature teratoma stage 1A, grade 2 in the histopathology report. However, she followed up with the metastatic mass in the pouch of Douglas at 30 weeks of pregnancy in magnetic resonance imaging despite being counselled for possible chemotherapy and surveillance. A baby with a good Apgar score and grade 3 immature teratoma in the metastatic mass was revealed following the exploratory laparotomy and cesarean section at 36 weeks of pregnancy. Fertility-sparing surgery with chemotherapy during pregnancy for high-grade tumours may result in a good prognosis.