| Autor: |
Nair, Priya Pratapan, Chaudhary, Amruta, Nakade, Mrunal |
| Předmět: |
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| Zdroj: |
Indian Journal of Forensic Medicine & Toxicology; Oct-Dec2020, Vol. 14 Issue 4, p6430-6435, 6p |
| Abstrakt: |
Ectopic pregnancy is a condition where the fertilized oocyte gets implanted outside the uterus. Tubal ectopic pregnancy accounts for 95 % of the ectopic gestation. Remaining 5 % involves the ovaries, cervix, cornua, abdominal and scar site pregnancies. Spontaneous ectopic pregnancy occurs when there is no prior infertility treatment taken. Bilateral spontaneous tubal ectopic pregnancy is a rare form of ectopic gestation. Hereby I would discuss a case of spontaneous bilateral ectopic pregnancy and its outcome. Case: A 35 years old gravid 2 abortion 1 with secondary infertility of 13 yrs came to emergency casualty with complaints of lower abdominal pain, spotting per vagina with giddiness and syncopal attack. Diagnosis: Based on clinical findings of acute anaemia due to internal blood loss and free fluid in the lower abdomen with fullness on forniceal palpation and bulky uterus. Trans abdominal ultrasonography was confirmatory in diagnosing bilateral adnexal mass with free fluid in pouch of Douglas. Intervention: Emergency exploratory laparotomy with adequate blood transfusion. Patient recovered uneventfully. Conclusion: Women in reproductive age group with history of amenorrhoea with irregular spotting and acute abdominal pain with syncopal attack should be managed vigorously keeping in mind ectopic pregnancy so as to have less morbidity and chances of good future pregnancy. Salphingotomy as an alternative method should be practiced. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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