World Journal of Laparoscopic Surgery

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VOLUME 12 , ISSUE 2 ( May-August, 2019 ) > List of Articles

CASE REPORT

Secondary Live Abdominal Ectopic Pregnancy: A Case Report

Priyakshi Chaudhry, Arpita Jaiswal

Keywords : Abdominal ectopic, High-risk obstetrics, Laparoscopy

Citation Information : Chaudhry P, Jaiswal A. Secondary Live Abdominal Ectopic Pregnancy: A Case Report. World J Lap Surg 2019; 12 (2):86-87.

DOI: 10.5005/jp-journals-10033-1372

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

A 27-year-old primigravida, married for 3 months, was admitted in the All India Institute of Medical Sciences (AIIMS), Delhi, with the diagnosis of live abdominal ectopic pregnancy. She had a history of scanty menstrual flow since 2 months and brownish discharge since 15 days. The patient had a history of normal menses priorly. Urine pregnancy test done was positive. The gestational age of the present pregnancy was 12 weeks. The patient had no complaints of pain in her abdomen, nausea, and vomiting, was doing her daily activity, which included gym and yoga. Per abdomen examination revealed a soft nondistended abdomen. Per vaginam examination showed bulky, anteverted uterus with fullness in right fornix and tenderness in right fornix. Investigations revealed Hb-10.6 g%, ultrasound, and CT scan showed right-sided live abdominal ectopic pregnancy, and the vessels involved were a right uterine artery and a branch from the lower level of T11 vertebral level, fetal pole ≈12 weeks in Pouch of Douglas (POD). With this case report we highlighted the medical emergency that diagnosed should be managed promptly. Proper preoperative evaluation, use of systemic methotrexate, availability of multidisciplinary surgical team, and proper operative technique like minimal invasive surgery which is invaluable in modern era when incidence of ectopic pregnancy is increasing due to parallel increase in etiological factor-like sexually transmitted diseases and assisted reproductive techniques by early detection with transvaginal ultrasound and CT scan which can reduce maternal mortality and morbidity, offer the couple a more optimistic outlook for subsequent reproductive potential and reduce mental, emotional trauma to the patient.


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