Secondary abdominal appendicular pregnancy: case report
| Autor: | Mićo Rosso, Valerija Blazicevic, Robert Selthofer, Domagoj Vidosavljević, Zlatko Topolovec, Siniša Šijanović |
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| Rok vydání: | 2014 |
| Předmět: |
Vaginal discharge
Adult Abdominal pain medicine.medical_specialty media_common.quotation_subject lcsh:Medicine Abortion appendix Pregnancy Pregnancy Abdominal Medicine Humans Laparoscopy Menstrual cycle media_common Gynecology medicine.diagnostic_test Ectopic pregnancy business.industry Obstetrics lcsh:R General Medicine medicine.disease ectopic pregnancy appendix Right Fallopian Tube ectopic pregnancy Female medicine.symptom business |
| Zdroj: | Srpski Arhiv za Celokupno Lekarstvo, Vol 142, Iss 7-8, Pp 484-487 (2014) |
| ISSN: | 0370-8179 |
| Popis: | Introduction. The case report describes a 29-year-old nulliparous woman that was admitted at the Department of Gynecology and Obstetrics of the Clinical Hospital Osijek complaining of mild abdominal pain without vaginal discharge. Case Outline. The patient?s menstrual cycle was irregular, from 30-45 days. An ultrasound examination showed suspicion of an ectopic pregnancy with a ?HCG level of 1358 IU/L. Due to the presence of liquid in the pouch of Douglas the patient underwent emergency laparoscopy, which showed the presence of tumor mass between the right Fallopian tube and the appendix. These two structures associated with adhesions corresponded to secondary implantation after spontaneous tubal abortion which was confirmed by histopathologic analysis. Conclusion. Laparoscopy has emerged as the ?gold standard? in the diagnosis and treatment of ectopic pregnancy, in this case the secondary abdominal pregnancy. From the diagnostic point of view, all women of reproductive age should be considered pregnant until proven otherwise, also keeping in mind that ectopic pregnancies can have different locations and many clinical features. |
| Databáze: | OpenAIRE |
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