Related Experiment Video
Updated: Jul 17, 2026
03:01
Improved Hysteroscopic Resection of Endometrial Polyps Using 6-Fr Micro-Scissors and Forceps
Published on: August 2, 2024
[Ectopic pregnancy--still a live clinical issue --a case report]
Agnieszka Banaszek1, Kinga Ziółkowska, Iwona Szymusik
1I Katedra i Klinika Połoznictwa i Ginekologii AM, Warszawie. gguzek@amwaw.edu.pl
Ginekologia Polska
|January 16, 2007
Summary
A rare case of a 14-week tubal pregnancy ruptured into the abdomen, causing severe pain and internal bleeding. Emergency surgery successfully removed the ectopic fetus and managed the hemorrhage.
Area of Science:
- Obstetrics and Gynecology
- Reproductive Medicine
- Surgical Case Reports
Background:
- Ectopic pregnancy, particularly tubal pregnancy, remains a significant cause of maternal morbidity.
- Late-term diagnosis of tubal pregnancy is uncommon, often presenting with atypical symptoms.
Observation:
- A 23-year-old patient presented with acute abdominal pain and hemodynamic instability.
- Ultrasound revealed a normal uterus but identified an ectopic fetus and hemoperitoneum.
- Laparotomy confirmed a ruptured right tubal pregnancy with significant intra-abdominal hemorrhage.
Findings:
- A 14-week gestational age ectopic pregnancy was found within the right fallopian tube.
- Approximately 1500 ml of blood and clots were evacuated from the peritoneal cavity.
- The fetus and placenta had extruded into the abdominal cavity following tubal rupture.
Implications:
- This case highlights the importance of considering ectopic pregnancy in patients with acute abdominal pain, even at later gestational ages.
- Prompt surgical intervention, including salpingectomy, is crucial for managing ruptured ectopic pregnancies to prevent life-threatening hemorrhage.
- Advanced imaging and surgical techniques are vital for successful management of complex ectopic pregnancy cases.