Spontaneous Bilateral Tubal Ectopic Pregnancy in a Low-Risk Patient: A Case Report with Implications for Preoperative Patient Counseling
| Autor: | David Herzog, Rodney McLaren, Josephine Eva Gathura, A. Elfeky, Richard V. Grazi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Ectopic pregnancy business.industry media_common.quotation_subject General surgery Tubal ectopic pregnancy Obstetrics and Gynecology Fertility Case Report Gynecology and obstetrics Patient counseling Guideline medicine.disease Bilateral Salpingectomy 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis RG1-991 medicine Complication business Pelvis media_common |
| Zdroj: | Case Reports in Obstetrics and Gynecology Case Reports in Obstetrics and Gynecology, Vol 2021 (2021) |
| ISSN: | 2090-6692 2090-6684 |
| Popis: | Bilateral tubal ectopic pregnancies (BTP) are the rarest form of ectopic pregnancy. They are difficult to diagnose preoperatively, and an evidence-based guideline for management does not exist. In this report, we discuss a 35-year-old patient who presented with suspected right tubal ectopic pregnancy. BTP was diagnosed intraoperatively, and a laparoscopic bilateral salpingectomy was performed without complication. The diagnosis was subsequently confirmed by pathology. This case highlights the importance of patient counseling and comprehensive preoperative planning. Due to the poor presurgical diagnosis of BTP, patient counseling should include the possibility of BTP, appropriate options for management, and potential loss of fertility following treatment. In addition, all cases of suspected ectopic pregnancy necessitate a thorough preoperative investigation of bilateral adnexa and intraoperative inspection of the pelvis. |
| Databáze: | OpenAIRE |
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