Chronic tubal ectopic pregnancy: a rare but challenging diagnosis.

Details

Serval ID
serval:BIB_78E4FF7E23AB
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Title
Chronic tubal ectopic pregnancy: a rare but challenging diagnosis.
Journal
BMJ case reports
Author(s)
Drakopoulos P., Pluchino N., Yaron M., Dällenbach P.
ISSN
1757-790X (Electronic)
ISSN-L
1757-790X
Publication state
Published
Issued date
31/07/2014
Peer-reviewed
Oui
Volume
2014
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: epublish
Abstract
A 34-year-old woman without any medical history presented to our hospital emergency unit with a history of 4 days of progressively increasing pain in the left iliac fossa, fever and vaginal bleeding for the past 3 weeks. Urine pregnancy test and serum bhCG were negative. CT scan showed a left pelvic mass compatible with a tubo-ovarian abscess. After transfer to our gynaecology unit, transvaginal ultrasound revealed an empty uterus with a heterogeneous mass in the left adnexal area. We performed a laparoscopy, which revealed an enlarged left haematosalpinx with firm adhesions to the surrounding organs, but no abscess. A total left salpingectomy was undertaken and the histopathological examination revealed the presence of chorionic villi, suggesting the diagnosis of chronic ectopic tubal pregnancy. The postoperative course was uneventful.
Keywords
Diagnosis, Differential, Endosonography, Female, Humans, Laparoscopy, Pregnancy, Pregnancy Complications/diagnosis, Pregnancy Complications/surgery, Pregnancy, Ectopic, Pregnancy, Tubal/diagnosis, Pregnancy, Tubal/surgery, Salpingectomy/methods, Sterilization, Tubal, Tomography, X-Ray Computed, Uterine Hemorrhage/diagnosis, Uterine Hemorrhage/etiology, Uterine Hemorrhage/surgery, Young Adult
Pubmed
Create date
15/09/2023 12:24
Last modification date
27/09/2023 8:02
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