| Simultaneous fallopian tube and duodenal serosal ectopic pregnancies from a spontaneous conception: a case report. | |
| | |
MedLine Citation:
|
PMID: 20537633 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To present a case report of two concurrent ectopic pregnancies (EP), in a disparate distal location within abdominal cavity with potential life-threatening consequences. DESIGN: Case report. SETTING: In-patient acute hospital admission. PATIENT(S): A multiparous woman with two children and a previous right tubal pregnancy treated with laparoscopic salpingectomy, who initially presented with an acute abdominal pain and vaginal bleeding suspicious of an EP. Having had the EP confirmed and treated with laparoscopic salpingectomy, she presented again 3 weeks later with acute abdominal pain, whereupon further evaluation an EP was found on the serosal surface of the second part of the duodenum. INTERVENTION(S): Laparoscopy and laparotomy followed by excision of the duodenal EP. MAIN OUTCOME MEASURE(S): Recovery to health and discharge from hospital. RESULT(S): Tissue histologic confirmation of left fallopian tubal EP, duodenal (second part) serosal EP, and return of β-hCG level <1 IU/L. CONCLUSION(S): Maternal deaths from failure to manage EPs appropriately remain prominent. This case report underscores the importance of vigilance at initial laparoscopic surgery and the need to reconsider the presence of another EP in any subsequent acute presentation within a short time of discharge. A mandatory, postoperative β-hCG level monitoring following treatment of all EPs would have alerted to an unusual clinical situation. |
| | |
Authors:
|
Honest Honest; Richard S V Cartmill |
Related Documents
:
|
1671023 - Hysteroscopic hydrotubation for treatment of tubal blockage. 1915943 - Risk factors for ectopic pregnancy in 556 pregnancies after in vitro fertilization: imp... 22626883 - Comparison of pr intervals determined by fetal magnetocardiography and pulsed doppler e... |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2010-05-26 |
Journal Detail:
|
Title: Fertility and sterility Volume: 94 ISSN: 1556-5653 ISO Abbreviation: Fertil. Steril. Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-11-26 Completed Date: 2011-01-10 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0372772 Medline TA: Fertil Steril Country: United States |
Other Details:
|
Languages: eng Pagination: 2770.e1-2 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Department of Obstetrics & Gynaecology, Good Hope Hospital, Sutton Coldfield, Birmingham, United Kingdom. honest.honest@heartofengland.nhs.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Duodenum Fallopian Tubes Female Fertilization / physiology* Humans Laparoscopy Pregnancy Pregnancy, Ectopic / diagnosis*, surgery Pregnancy, Multiple* Pregnancy, Tubal / diagnosis*, surgery Salpingectomy / methods Serous Membrane |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Robotic versus standard laparoscopy for the treatment of endometriosis.
Next Document: Enhanced invasion of stromal cells from adenomyosis in a three-dimensional coculture model is augmen...