Ectopic pregnancy

Author: Eva Račanská

Description:
28 year old II.gravida I.para referred from surgical emergency for an acute onset of pelvic pain which started after sexual intercourse. last menstrual period 6wks ago. Serum - hCG level 1046 IU/l. Pain was accompanied by nausea and vomiting. Patient delivered 6 years ago via Caesarean section (ophtalmologic indication). Right salpingectomy was performed 1 year ago due to an ectopic - right tubal pregnancy. Bimanual pelvic examination showed enlarged uterus, tenderness during cervical movements and both adnexal regions tender to palpation as well. Ultrasound examination: no gestation sac in the uterine cavity, high endometrium 14 mm, moderate amount of the free fluid in the pouch of Douglas. Diagnostic laparoscopy was performed because of suspicion of an ectopic pregnancy. Retroverted soft uterus, left uterine tube of normal size and shape, stub of the right uterine tube after previous salpingectomy was covered with the blood clot and devastated by ectopic pregnancy. Stub of the right uterine tube was removed using bipolar coagulation and scissors. Histology confirmed placental tissue in the resected uterine tube.

Categorization:
Tubal pregnancy

Attachments:

Ectopic pregnancy
Stub of the right uterine tube covered with blood clot. / Pahýl pravostranného vejcovodu překrytý krevním koagulem. Description: Stub of the right uterine tube covered with blood clot.
Type: LSK
Keywords: Ectopic pregnancy
Ectopic pregnancy
Cornual end of the uterus with the stub of uterine tube covered in blood clot and devastated by tubal pregnancy.  / Oblast pravého děložního rohu a pahýlu pravého vejcovodu, který je překryt koagulem a devastován tubární graviditou. Description: Cornual end of the uterus with the stub of uterine tube covered in blood clot and devastated by tubal pregnancy.
Type: LSK
Keywords: Ectopic pregnancy
Ectopic pregnancy
Left uterine tube and left ovary. / Levý vejcovod a vaječník. Description: Left uterine tube and left ovary.
Type: LSK
Keywords: Ectopic pregnancy
Ectopic pregnancy
Left uterine tube of normal size and shape, no sign of an ectopic pregnancy. / Levý vejcovod normální velikosti a tvaru bez známek tubární gravidity. Description: Left uterine tube of normal size and shape, no sign of an ectopic pregnancy.
Type: LSK
Keywords: Ectopic pregnancy
Ectopic pregnancy
Uterus and right cornual part after salpingectomy. / Děloha a oblast pravého rohu děložního po provedené salpingectomii. Description: Uterus and right cornual part after salpingectomy.
Type: LSK
Keywords: Ectopic pregnancy
Ectopic pregnancy
Detail of roght cornual part of the uterus. / Detail pravého rohu děložního. Description: Detail of roght cornual part of the uterus.
Type: LSK
Keywords: Ectopic pregnancy