A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding.
Nina Vukas Radulovic1, Maria Bullarbo1, Erling Ekerhovd1
1Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
Case Reports in Obstetrics and Gynecology
|June 8, 2017
Summary
This case report details an extremely rare instance of chronic ectopic pregnancy causing rectal bleeding due to rectal perforation. It highlights the diagnostic challenges and importance of follow-up for ectopic pregnancy.
Area of Science:
- Reproductive Medicine
- Gastroenterology
- Surgical Pathology
Background:
- Ectopic pregnancy, typically occurring in the fallopian tube, rarely presents with gastrointestinal complications.
- Rectal bleeding and perforation are highly unusual symptoms associated with ectopic pregnancies.
Observation:
- A 31-year-old woman presented with abdominal pain and rectal bleeding, initially diagnosed as tubal pregnancy.
- The ectopic pregnancy was found to be adherent to the rectum, causing perforation and bleeding.
Findings:
- Surgical intervention included salpingo-oophorectomy and rectal perforation repair.
- Histopathological examination confirmed chronic ectopic pregnancy and rectal involvement.
Implications:
- This case underscores the diagnostic complexities of ectopic pregnancy, especially with atypical presentations.
- Emphasizes the critical need for diligent follow-up in cases with unresolved diagnostic uncertainties.
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