Tubal pregnancy

Author: Eva Račanská

Description:
43 year old 5 gravida 3 para referred by gynecologist for the suspicion of an ectopic pregnancy. Patient had 6 weeks amenorrhoea, mild pelvic pain and light bleeding. She had 3 uncomplicated vaginal deliveries and 1 pregnancy termination, underwent right salpingectomy 4 years ago due to an ectopic, right tubal pregnancy. Pregnancy test was positive, bimanual pelvic examination confirmed light vaginal bleeding, uterus of normal size, left adnexal region tender to palpation. Transvaginal ultrasound described anteverted uterus, endometrium 10 mm, no sign of gestation sac in the uterine cavity, both ovaries of normal size with follicles. On the left to the uterus iwas an anisoechigenic formation with gestation sac and fetal pole 5 wks+2 days according to the CRL. Laparoscopy was performed with the following findings: uterus and both ovaries of normal size with no abnormalities. Right uterine tube missing, it was removed 4 years ago due to an ectopic pregnancy in the right uterine tube. Ampullar part of the left uterine tube is dilated with the tubal pregnancy. Left salpingectomy was performed. Histology confirmed left tubal pregnancy.

Categorization:
Tubal pregnancy

Attachments:

Left tubal pregnancy
Uterus and dilated left uterine tube.  / Děloha a dilatovaný levý vejcovod. Description: Uterus and dilated left uterine tube.
Type: LSK
Keywords: Uterine tube, Ectopic pregnancy
Left tubal pregnancy
Left uterine tube with large dilation. / Masivně dilatovaný levý vejcovod. Description: Left uterine tube with large dilation.
Type: LSK
Keywords: Uterine tube, Ectopic pregnancy
Tubal pregnancy
Left uterine tube with the tubal pregnancy. / Levý vejcovod s tubární graviditou. Description: Left uterine tube with the tubal pregnancy.
Type: LSK
Keywords: Uterine tube, Ectopic pregnancy
Tubal pregnancy
Uterus and dilated left uterine tube. / Děloha a masivně dilatovaný levý vejcovod. Description: Uterus and dilated left uterine tube.
Type: LSK
Keywords: Uterine tube, Ectopic pregnancy
Tubal pregnancy
Right ovary of normal size and shape,  right uterine tube was removed 4 years ago due to tubal pregnancy. / Pravý vaječník normální velikosti a tvaru, pravý vejcovod byl odstraněný před 4 roky z důvodu pravostranné tubární gravidity. Description: Right ovary of normal size and shape, right uterine tube was removed 4 years ago due to tubal pregnancy.
Type: LSK
Keywords: Uterine tube, Ectopic pregnancy