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: 01-12-2016

Copyright Statement:  Copyright © 2019; The Author(s).


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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  1. Worley KC, Hnat MD, Cunningham FG. Advanced extrauterine pregnancy: diagnostic and therapeutic challenges. Am J Obstet Gynecol 2008;198(3):297.E1–297.E7. DOI: 10.1016/j.ajog.2007.09.044.
  2. Nama V, Gyampoh B, Karoshi M, et al. Secondary abdominal appendicular ectopic pregnancy. J Minim Invasive Gynecol 2007;14(4):516–517. DOI: 10.1016/j.jmig.2007.02.005.
  3. Chui AK, Lo KW, Choi PC, et al. Primary hepatic pregnancy. ANZ J Surg 2001;71(4):260–261. DOI: 10.1046/j.1440-1622.2001.02085.x.
  4. Yagil Y, Beck-Razi N, Amit A, et al. Splenic pregnancy: the role of abdominal imaging. J Ultrasound Med 2007;26(11):1629–1632. DOI: 10.7863/jum.2007.26.11.1629.
  5. Masukume G. Live births resulting from advanced abdominal extrauterine pregnancy, a review of cases reported from 2008 to 2013. Obstet Gynecol 2014;5(1):WMC004510.
  6. Goldner TE, Lawson HW, Xia Z, et al. Surveillance for ectopic pregnancy: United States, 1970-1989. MMWR CDC Surveill Summ 1993;42(6):73–85.
  7. Marchbanks PA, Annegers JF, Coulam CB, et al. Risk factors for ectopic pregnancy. a population-based study. JAMA 1998;259(12):1823–1827. DOI: 10.1001/jama.1988.03720120027030.
  8. Fujishita A, Masuzaki H, Newaz Khan K, et al. Laparoscopic salpingotomy for tubal pregnancy: comparison of linear salpingotomy with and without suturing. Hum Reprod 2004;19(5):1195–1200. DOI: 10.1093/humrep/deh196.
  9. Vermesh M, Presser SC. Reproductive outcome after linear salpingostomy for ectopic gestation: a prospective 3-year follow-up. Fertil Steril 1992;57(3):682–684. DOI: 10.1016/S0015-0282(16)54921-8.
  10. Brumsted JR, Nakajima ST, Badger G, et al. Serum concentration of ca-125 during the first trimester of normal and abnormal pregnancies. J Reprod Med 1990;35(5):499–502.
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