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Case Report on Tubal Pregnancy Presenting as an Abdominal Pregnancy on Ultrasound: A Type of Ectopic Pregnancy

Ivy Jillane T. Policarpio MD
Emerita Rilloraza MD*

ABSTRACT

Tubal pregnancy is a type of pregnancy wherein the fetus develops at the fallopian tube. One rare type of ectopic pregnancy is an abdominal pregnancy. Abdominal pregnancy is an ectopic pregnancy that implants in the peritoneal cavity. It is self-limited by hemorrhage from trophoblastic invasion with complete abortion of the gestation sac that leaves a discrete crater. A high index of suspicion can help in the timely diagnosis and intervention of these cases. This is a case of tubal pregnancy with
ultrasound findings of abdominal pregnancy in ultrasound in a 29-year-old woman who presented with amenorrhea for 5 weeks and vaginal spotting. Patient had an ultrasound finding of a well circumscribed gestational sac outside the uterus with a live single fetus 11 weeks and 6 days by crown rump length with fluid in the cul de sac (hemoperitoneum). The patient underwent Exploratory laparotomy, left salpingectomy, evacuation of hemoperitoneum, partial omentectomy under General anesthesia with histopathologic findings consistent with ruptured tubal pregnancy with 10 grams of fetus with crown rump length of 5.5 cm. Hemorrhage focal necrosis, chronic and acute inflammation, omentum 1
Keywords: abdominal pregnancy, ectopic pregnancy, exploratory laparotomy, hemopritoneum

*Adviser/Consultant, Department of Obstetrics a nd Gynecology

2018-03-06T12:42:06+00:00