Document Detail

Simultaneous fallopian tube and duodenal serosal ectopic pregnancies from a spontaneous conception: a case report.
MedLine Citation:
PMID:  20537633     Owner:  NLM     Status:  MEDLINE    
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.
Honest Honest; Richard S V Cartmill
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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.
Department of Obstetrics & Gynaecology, Good Hope Hospital, Sutton Coldfield, Birmingham, United Kingdom.
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MeSH Terms
Fallopian Tubes
Fertilization / physiology*
Pregnancy, Ectopic / diagnosis*,  surgery
Pregnancy, Multiple*
Pregnancy, Tubal / diagnosis*,  surgery
Salpingectomy / methods
Serous Membrane

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