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Concurrent appendicitis and ectopic pregnancy. A case report.

John C Riggs1, Henry J Schiavello, Rivki Fixler

  • 1Department of Obstetrics and Gynecology, Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237, USA.

The Journal of Reproductive Medicine
|July 3, 2002
PubMed
Summary
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Concurrent ectopic pregnancy and appendicitis are rare but possible. This case highlights the importance of considering multiple diagnoses in patients with acute abdominal symptoms during pregnancy, suggesting a potential common cause.

Area of Science:

  • Obstetrics and Gynecology
  • General Surgery
  • Pathology

Background:

  • Ectopic pregnancy and appendicitis rarely occur together, with only 21 reported cases since 1960.
  • Acute surgical abdomen in pregnancy necessitates broad differential diagnoses.

Observation:

  • A 32-year-old Hispanic woman presented with symptoms suggestive of an acute surgical abdomen.
  • Preoperative diagnosis considered both ectopic pregnancy and appendicitis.
  • Surgical exploration revealed a ruptured appendix and an unruptured left-sided ectopic pregnancy.

Findings:

  • The case confirms the co-occurrence of ectopic pregnancy and acute appendicitis.
  • Surgical findings corroborated the preoperative diagnostic considerations.

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Implications:

  • Clinicians must consider the possibility of multiple concurrent pathologies in acute abdominal cases, particularly in pregnant patients.
  • The co-occurrence suggests a potential shared pathogenic mechanism between ectopic pregnancy and appendicitis.