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Ectopic pregnancy presenting with obturator nerve pain
1Booth Hall Children's Hospital, Manchester, UK.
Journal of Accident & Emergency Medicine
|June 25, 1998
Summary
Ectopic pregnancy can cause referred pain along the obturator nerve, a symptom not previously documented. This case highlights the diverse presentations of ectopic pregnancy in women of childbearing age.
Area of Science:
- Gynecology
- Neurology
Background:
- Ectopic pregnancy is a critical condition in women of reproductive age.
- Referred pain is common in various pelvic pathologies.
Observation:
- A 27-year-old woman presented with obturator nerve pain preceding classic ectopic pregnancy symptoms.
- Left tubal pregnancy was confirmed laparoscopically.
Findings:
- This is the first reported case of obturator nerve pain as a manifestation of ectopic pregnancy.
- Obturator nerve pain can be an early, atypical sign.
Implications:
- Clinicians should consider ectopic pregnancy in women of childbearing age with unexplained pain, even if it radiates to unusual areas like the obturator nerve distribution.
- Broadening the differential diagnosis for ectopic pregnancy can lead to earlier detection and intervention.