Her sutures were removed on the 7 th day and the wound union was good. Then, the coagulative Bovie tip was introduced into the pelvis again and the portion of the uterus that remained after the entire fallopian tube was excised was coagulated and made hemostatic.
Laparoscopic cornuostomy and removal of products of conception were performed in the subsequent 3 cases with some modifications of the technique.
There was evidence of a corpus luteum on the right ovary. The patient was taken to the operating room, placed under general anesthesia and prepped and draped in the usual sterile manner. An ultrasound performed in the emergency department showed right ectopic pregnancy.
Image 1 Image 2 Take home points: Discussion The earliest reported case of an ovarian pregnancy was described in the 17th century [ 1 ] and although it remains one of the rarest forms of ectopic pregnancies the incidence has been rising, currently estimated to be between 0.
Conclusion Although it is a rare occurrence, the incidence of ovarian pregnancy is on the rise. High index of suspicion is vital in making prompt diagnosis in such situations.
In these cases or in haemodynamically stable patients, medical management should be strongly considered, in order to avoid operative complications and preserve fertility of the patient.
Closure was then accomplished with Vicryl in the umbilical fascia and Vicryl on the skin. There was minimal bleeding and there was noted to be a large ectopic in the cornual section of the fallopian tube.
Histological analysis confirmed the specimens to be pregnancies, thus confirming the diagnosis of unruptured bilateral tubal ectopic pregnancies. Postoperatively, she was stable and her subsequent recovery was uneventful.
The appendix was normal.
As demonstrated in the case discussed, preoperative diagnosis of ovarian ectopic can be challenging as symptoms are nonspecific and ultrasound diagnosis is difficult [ 3 ]. So, linear salpingotomy was performed on both tubes in case 1 and in case 2, salpingectomy was done on the left tube and linear salpingotomy on the right.
In Mittal et al. The skin in and about the umbilicus was injected with a mixture of Marcaine and Xylocaine with epinephrine and then a vertical incision was made through the umbilicus and then carried through the natural defect into the abdominal cavity.
This is primarily because of the risk of massive hemorrhage from partial or total placental separation. Summary Abdominal pregnancy is a rare form of ectopic pregnancy with very high morbidity and mortality for both the mother and the foetus. Correspondence should be addressed to Meher Tabassum ; moc.
Because of its unique location, interstitial pregnancy remains one of the most difficult ectopic pregnancies to diagnose. Estimated blood loss was mL.
An outpatient USS requested by her general practitioner 4 days prior to admission demonstrated no intra- or extrauterine pregnancy. Case 2, a year-old multiparous housewife who had been on clomid for secondary infertility, presented with signs and symptoms of ruptured tubal ectopic.Discussion Ectopic pregnancy is a dreaded complication in the reproductive age group.
It is the implantation of the conceptus outside of the normal uterine cavity site. Many factors are implicated in the development of an ectopic pregnancy. An ectopic pregnancy occurs when a fertilized egg implants itself outside of the uterus.
They’re also called “tubal pregnancies” because most of them happen in the fallopian tubes. Whether. Abdominal pregnancy is a rare form of ectopic pregnancy with very high morbidity and mortality for both the mother and the foetus. 4 In this case it was obvious that the abdominal implantation was secondary to undiagnosed ruptured left tubal ectopic pregnancy.
Clinical diagnosis can be very difficult and ultrasound is very helpful during. May 06, · Laparoscopic Salpingectomy for Ruptured Tubal Ectopic Pregnancy: A Case Report Joseph Ifeanyichukwu IKECHEBELU 1,2 *, Nkemakolam O. EKE 1, Chidinma Donatus OKAFOR 2. May 06, · ruptured tubal ectopic pregnancy is a suitable and safe way of management, especially in the hands of an experienced gynaecologic endoscopy surgeon [1,].
CASE REPORT A 25 year old patient with normal having left tubal ectopic pregnancy with CRL 7w1d with evidence of cardiac activity. pain for three days in post-operative period. After fifteenth day patient was symptom free and β-hCG started reducing.
Patient recovered completely.Download