Document Detail

Heterotopic pregnancy following bilateral tubal ligation: case report.
MedLine Citation:
PMID:  21542670     Owner:  NLM     Status:  MEDLINE    
CASE REPORT: A 38-year-old woman presented, one year after bilateral tubal ligation, with vaginal bleeding, vomiting, and stupor. Ten days earlier, she had submitted to a dilatation and curettage for an unexpected intrauterine pregnancy. At the time of this presentation there was rebound tenderness and guarding on abdominal examination, and a 2.5 cm right adnexal mass was detected on transvaginal ultrasound together with free fluid in the pelvis. The serum level of beta-hCG was 8522 mIU/ml. At laparoscopy a right tubal pregnancy and a large haematocele in the pouch of Douglas were detected. A right salpingectomy and a bipolar electrocoagulation of the left tubo-cornual junction were performed laparoscopically.
CONCLUSION: Pregnancy after tubal sterilisation may be heterotopic and this possibility should be considered in the differential diagnosis.
Banu Kumbak; Zehra Sema Ozkan; Mehmet Simsek
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-05-04
Journal Detail:
Title:  The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception     Volume:  16     ISSN:  1473-0782     ISO Abbreviation:  Eur J Contracept Reprod Health Care     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-07-21     Completed Date:  2011-12-23     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  9712127     Medline TA:  Eur J Contracept Reprod Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  319-21     Citation Subset:  IM    
Department of Obstetrics and Gynaecology, Firat University, School of Medicine, Elazig, Turkey.
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MeSH Terms
Chorionic Gonadotropin, beta Subunit, Human / blood
Pregnancy, Tubal / blood,  surgery*,  ultrasonography
Sterilization, Tubal*
Reg. No./Substance:
0/Chorionic Gonadotropin, beta Subunit, Human

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