Case report: Ectopic pregnancy in the interstitial part of the fallopian tube
Ectopic pregnancy remains one of the most common causes of pregnancy-related death in the first trimester. 2.4% of ectopic pregnancies occur in the interstitial part of the fallopian tube. As the symptoms of this condition are non-specific and the localization is associated with a higher risk of ble...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-07-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1197036/full |
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| author | Diana Bužinskienė Diana Bužinskienė Monika Mačionytė Darius Dasevičius Mindaugas Šilkūnas Mindaugas Šilkūnas |
| author_facet | Diana Bužinskienė Diana Bužinskienė Monika Mačionytė Darius Dasevičius Mindaugas Šilkūnas Mindaugas Šilkūnas |
| author_sort | Diana Bužinskienė |
| collection | DOAJ |
| description | Ectopic pregnancy remains one of the most common causes of pregnancy-related death in the first trimester. 2.4% of ectopic pregnancies occur in the interstitial part of the fallopian tube. As the symptoms of this condition are non-specific and the localization is associated with a higher risk of bleeding, early diagnosis of interstitial pregnancies is important, based not only on clinical symptoms, but also on additional diagnostic methods. Early diagnosis leads to better treatment-related outcomes. We report a 32-year-old female patient who came to the emergency department because of pain in the lower abdomen and right iliac region and bloody vaginal discharge. During palpation of the abdomen, the pain was localized in the lower part of the abdomen. Human chorionic gonadotropin (hCG) was significantly increased in biochemical tests. Transvaginal ultrasound examination of internal genital organs, abdominal and pelvic computer tomography (CT) were per-formed. An ectopic pregnancy was suspected. Thus, the patient was hospitalized in the gynecology department for surgical treatment. A laparoscopy was performed and an ectopic pregnancy was diagnosed in the interstitial part of the right fallopian tube and in the right uterine corner, which led to right salpingectomy and right uterine angle resection. Thus, interstitial pregnancy is a rare and life-threatening gynecological condition due to the higher risk of bleeding compared to other ectopic pregnancies. However, appropriate diagnosis based on clinical signs, transvaginal ultrasound findings and hCG levels in the blood ensures early diagnosis of interstitial pregnancy, which leads to the choice of medical treatment with methotrexate or minimally invasive surgical techniques. |
| first_indexed | 2024-03-13T01:47:45Z |
| format | Article |
| id | doaj.art-93fe99f53617434fb71366a516f54cbe |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-13T01:47:45Z |
| publishDate | 2023-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-93fe99f53617434fb71366a516f54cbe2023-07-03T06:15:53ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-07-011010.3389/fsurg.2023.11970361197036Case report: Ectopic pregnancy in the interstitial part of the fallopian tubeDiana Bužinskienė0Diana Bužinskienė1Monika Mačionytė2Darius Dasevičius3Mindaugas Šilkūnas4Mindaugas Šilkūnas5Faculty of Medicine, Vilnius University, Vilnius, LithuaniaCenter of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine Vilnius University, Vilnius, LithuaniaFaculty of Medicine, Vilnius University, Vilnius, LithuaniaNational Center of Pathology, Affiliate of Vilnius University Hospital Santaros Klinikos, Vilnius, LithuaniaFaculty of Medicine, Vilnius University, Vilnius, LithuaniaCenter of Obstetrics and Gynecology, Institute of Clinical Medicine, Faculty of Medicine Vilnius University, Vilnius, LithuaniaEctopic pregnancy remains one of the most common causes of pregnancy-related death in the first trimester. 2.4% of ectopic pregnancies occur in the interstitial part of the fallopian tube. As the symptoms of this condition are non-specific and the localization is associated with a higher risk of bleeding, early diagnosis of interstitial pregnancies is important, based not only on clinical symptoms, but also on additional diagnostic methods. Early diagnosis leads to better treatment-related outcomes. We report a 32-year-old female patient who came to the emergency department because of pain in the lower abdomen and right iliac region and bloody vaginal discharge. During palpation of the abdomen, the pain was localized in the lower part of the abdomen. Human chorionic gonadotropin (hCG) was significantly increased in biochemical tests. Transvaginal ultrasound examination of internal genital organs, abdominal and pelvic computer tomography (CT) were per-formed. An ectopic pregnancy was suspected. Thus, the patient was hospitalized in the gynecology department for surgical treatment. A laparoscopy was performed and an ectopic pregnancy was diagnosed in the interstitial part of the right fallopian tube and in the right uterine corner, which led to right salpingectomy and right uterine angle resection. Thus, interstitial pregnancy is a rare and life-threatening gynecological condition due to the higher risk of bleeding compared to other ectopic pregnancies. However, appropriate diagnosis based on clinical signs, transvaginal ultrasound findings and hCG levels in the blood ensures early diagnosis of interstitial pregnancy, which leads to the choice of medical treatment with methotrexate or minimally invasive surgical techniques.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1197036/fullinterstitial pregnancysalpingectomylaparoscopylaparotomymethotrexate |
| spellingShingle | Diana Bužinskienė Diana Bužinskienė Monika Mačionytė Darius Dasevičius Mindaugas Šilkūnas Mindaugas Šilkūnas Case report: Ectopic pregnancy in the interstitial part of the fallopian tube Frontiers in Surgery interstitial pregnancy salpingectomy laparoscopy laparotomy methotrexate |
| title | Case report: Ectopic pregnancy in the interstitial part of the fallopian tube |
| title_full | Case report: Ectopic pregnancy in the interstitial part of the fallopian tube |
| title_fullStr | Case report: Ectopic pregnancy in the interstitial part of the fallopian tube |
| title_full_unstemmed | Case report: Ectopic pregnancy in the interstitial part of the fallopian tube |
| title_short | Case report: Ectopic pregnancy in the interstitial part of the fallopian tube |
| title_sort | case report ectopic pregnancy in the interstitial part of the fallopian tube |
| topic | interstitial pregnancy salpingectomy laparoscopy laparotomy methotrexate |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1197036/full |
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