Isolated fallopian tube torsion: an unusual cause of acute abdominal pain.

The authors report a rare, unusual case of an isolated fallopian tube torsion in a young woman presenting with acute lower abdominal pain and a negative pregnancy test. The patient who initially presented with clinical and biochemical features suggestive of acute appendicitis was found to have a large necrotic pelvic mass at laparoscopy, discovered to be a torted fallopian tube with no ipsilateral ovarian involvement. The patient had a laparoscopic removal of the necrotic tube and recovered well postoperatively.

Antiphospholipid antibodies and infertility.

Antiphospholipid antibodies (aPL) are an established cause of recurrent pregnancy loss. As defective embryonic implantation is a common link between unexplained infertility and recurrent miscarriage, interest has focused on the potential relationship between aPL and implantation failure after in vitro fertilization and embryo transfer (IVF-ET). This review critically examines the published data to determine whether women undergoing IVF-ET should be routinely screened for aPL.

High serum luteinizing hormone and testosterone concentrations do not predict pregnancy outcome in women with recurrent miscarriage.

Objective: To investigate the relationship between Day 8 serum luteinizing hormone (LH) and testosterone (T) concentrations, and body mass index (BMI) with pregnancy outcome in women with recurrent miscarriage.

Design: Prospective observational study.

Setting: National recurrent miscarriage clinic.