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Ruptured advanced tubal ectopic pregnancy simulating uterine rupture: a case report
1Department of Obstetrics & Gynaecology, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria.
Background:
Ectopic pregnancy is one of the most critical and life-threatening emergencies in gynaecological practice and poses a diagnostic dilemma in advanced cases. This report highlights a case of ruptured advanced tubal ectopic pregnancy simulating uterine rupture.
Method:
Case-note of a patient managed for ruptured advanced tubal ectopic pregnancy was used with a review of the relevant literature.
Result:
A 24-year old primigravida who presented at 23 weeks gestation with signs and symptoms suggestive of ectopic pregnancy is presented. The advanced nature of the pregnancy posed a diagnostic dilemma as ruptured uterus shares the same characteristic dramatic presentation, especially in this patient with previous myomectomy. Prompt resuscitation and immediate laparotomy produced a good outcome.
Conclusion:
High index of suspicion is important in the diagnosis of ectopic pregnancy. Even when diagnosis is in doubt, exploratory laparotomy may be life saving.