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Etopic pregnancy causing massive rectal bleeding.

S P Patterson, C E Frankum, H Sexton

    Southern Medical Journal
    |November 1, 1978
    PubMed
    Summary
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    A rare case of severe rectal bleeding was caused by an ectopic pregnancy within the cecum wall. Diagnosis was challenging, requiring exploratory surgery to identify the uterine-cecal adhesion.

    Area of Science:

    • Gastroenterology
    • Gynecology
    • Surgical Pathology

    Background:

    • Rectal bleeding is a common clinical presentation with diverse etiologies.
    • Ectopic pregnancies typically occur within the fallopian tubes, rarely presenting in abdominal locations.
    • Cecal pathology can manifest with gastrointestinal bleeding, often mimicking other conditions.

    Observation:

    • A patient presented with severe rectal bleeding, unresponsive to standard diagnostic workups for lower gastrointestinal hemorrhage.
    • Preoperative investigations, including colonoscopy and imaging, failed to establish a definitive cause for the bleeding.
    • Intraoperative findings revealed an ectopic pregnancy involving the cecal wall, with uterine adherence.

    Findings:

    • The definitive cause of severe rectal bleeding was identified as an ectopic pregnancy implanted within the cecum.

    Related Experiment Videos

  • The ectopic pregnancy resulted in significant adhesion between the uterus and the cecum, complicating diagnosis.
  • Surgical intervention (laparotomy) was necessary for diagnosis and management.

    • Implications:

    • This case highlights the rare but critical possibility of ectopic pregnancy presenting as a source of lower gastrointestinal bleeding.
    • It underscores the importance of considering unusual diagnoses in cases of unexplained severe rectal bleeding, even after negative standard investigations.
    • The findings emphasize the need for a broad differential diagnosis in gynecological and gastrointestinal emergencies.