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An unusual haemoperitoneum--secondary abdominal pregnancy
Muhammad Ahsan Akhtar1, Kate Navaratnam, Mark J Davies
1Obstetrics and Gynaecology Department, Southport and Ormskirk Hospital NHS Trust, Southport, UK. drmakh@doctors.org.uk
Abstract:
A 36-year-old amenorrhoeic patient presented with vague abdominal discomfort, and haemodynamic instability, a large haemoperitoneum was identified on transvaginal ultrasound. Ruptured tubal ectopic pregnancy was suspected. At laparotomy ruptured primary tubal ectopic pregnancy was identified, with 12-14 week secondary abdominal pregnancy implanted onto the omentum, confirmed by histopathology. Salpingo-oophrectomy with peritoneal washout was performed, and three units blood transfusion was required. The patient had an uneventful recovery to health.
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