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Chromopertubation of an Ectopic Pregnancy
Sowmya Sunkara1, Elise Bardawil, J Biba Nijjar
1Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; and the Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, Missouri.
Background:
An ectopic pregnancy is a nonviable pregnancy located outside of the endometrial cavity of the uterus, which can be managed medically or surgically.
Case:
A 35-year-old woman with a prior ectopic pregnancy, who reported tubal surgery of unknown location and extent, presented with a recurrent ectopic pregnancy. Ultrasound imaging showed a complex cystic lesion adjacent to the ovary, moderate complex free fluid, and no intrauterine pregnancy. She underwent an urgent diagnostic laparoscopy. Chromopertubation was performed to demonstrate absence of the left fallopian tube. The ectopic pregnancy was incidentally noted to be mobile and was expelled from the right fallopian tube.
Conclusion:
Chromopertubation offers a minimally invasive technique for management of ectopic pregnancy that may reduce injury as a result of less surgical manipulation of the fallopian tube.
