Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report
Ectopic pregnancy complicates 0.25%–2% of all pregnancies and is one of the most common causes of first-trimester maternal mortality in developing countries due to late diagnosis. Spontaneous ruptured bilateral tubal ectopic pregnancies are extremely rare, with very limited data on its occurrence in...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Human Reproductive Sciences |
| Subjects: | |
| Online Access: | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2021;volume=14;issue=2;spage=196;epage=199;aulast=Iwe |
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| author | Amobi Bobbie Chukwujioke Iwe Johnbosco Ifunanya Nwafor Obiora Godfrey Asiegbu Joshua Adeniyi Adebayo Bridget Nkiruka Uche-Nwidagu Vincent Chidiebere Ali |
| author_facet | Amobi Bobbie Chukwujioke Iwe Johnbosco Ifunanya Nwafor Obiora Godfrey Asiegbu Joshua Adeniyi Adebayo Bridget Nkiruka Uche-Nwidagu Vincent Chidiebere Ali |
| author_sort | Amobi Bobbie Chukwujioke Iwe |
| collection | DOAJ |
| description | Ectopic pregnancy complicates 0.25%–2% of all pregnancies and is one of the most common causes of first-trimester maternal mortality in developing countries due to late diagnosis. Spontaneous ruptured bilateral tubal ectopic pregnancies are extremely rare, with very limited data on its occurrence in the literature. In a spontaneous conception, the preoperative diagnosis is difficult to make but an important one to consider at surgery for presumed unilateral tubal ectopic pregnancy because missing the diagnosis can lead to mortality. We report a case of a 38-year-old multipara with a history of amenorrhea of 8 weeks and 2 days and complaints of vaginal spotting of 4-day duration and sudden onset of abdominal pain of 4 h before presentation. On admission, a preoperative diagnosis of ruptured left tubal ectopic pregnancy was made following ultrasound findings of left adnexal mass and hemoperitoneum. However, both fallopian tubes were found to harbor ectopic gestational sac with bleeding rents on the tubal walls at surgery. She subsequently had exploratory laparotomy and bilateral salpingectomy with good outcome. In low-resource settings, ectopic pregnancy is associated with poor maternal outcome due to late presentation. Diagnosis of ruptured bilateral tubal ectopic pregnancy is difficult before surgery. Therefore, examination of both tubes at laparotomy for ectopic pregnancy should be routine and mandatory to avoid missing the diagnosis. |
| first_indexed | 2024-12-22T12:14:35Z |
| format | Article |
| id | doaj.art-9c7061b6497c46d08f0035161cd9252d |
| institution | Directory Open Access Journal |
| issn | 0974-1208 1998-4766 |
| language | English |
| last_indexed | 2024-12-22T12:14:35Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Human Reproductive Sciences |
| spelling | doaj.art-9c7061b6497c46d08f0035161cd9252d2022-12-21T18:26:10ZengWolters Kluwer Medknow PublicationsJournal of Human Reproductive Sciences0974-12081998-47662021-01-0114219619910.4103/jhrs.JHRS_87_20Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case reportAmobi Bobbie Chukwujioke IweJohnbosco Ifunanya NwaforObiora Godfrey AsiegbuJoshua Adeniyi AdebayoBridget Nkiruka Uche-NwidaguVincent Chidiebere AliEctopic pregnancy complicates 0.25%–2% of all pregnancies and is one of the most common causes of first-trimester maternal mortality in developing countries due to late diagnosis. Spontaneous ruptured bilateral tubal ectopic pregnancies are extremely rare, with very limited data on its occurrence in the literature. In a spontaneous conception, the preoperative diagnosis is difficult to make but an important one to consider at surgery for presumed unilateral tubal ectopic pregnancy because missing the diagnosis can lead to mortality. We report a case of a 38-year-old multipara with a history of amenorrhea of 8 weeks and 2 days and complaints of vaginal spotting of 4-day duration and sudden onset of abdominal pain of 4 h before presentation. On admission, a preoperative diagnosis of ruptured left tubal ectopic pregnancy was made following ultrasound findings of left adnexal mass and hemoperitoneum. However, both fallopian tubes were found to harbor ectopic gestational sac with bleeding rents on the tubal walls at surgery. She subsequently had exploratory laparotomy and bilateral salpingectomy with good outcome. In low-resource settings, ectopic pregnancy is associated with poor maternal outcome due to late presentation. Diagnosis of ruptured bilateral tubal ectopic pregnancy is difficult before surgery. Therefore, examination of both tubes at laparotomy for ectopic pregnancy should be routine and mandatory to avoid missing the diagnosis.http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2021;volume=14;issue=2;spage=196;epage=199;aulast=Iwebilateral tubal gestationrupturedspontaneous |
| spellingShingle | Amobi Bobbie Chukwujioke Iwe Johnbosco Ifunanya Nwafor Obiora Godfrey Asiegbu Joshua Adeniyi Adebayo Bridget Nkiruka Uche-Nwidagu Vincent Chidiebere Ali Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report Journal of Human Reproductive Sciences bilateral tubal gestation ruptured spontaneous |
| title | Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report |
| title_full | Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report |
| title_fullStr | Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report |
| title_full_unstemmed | Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report |
| title_short | Spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception: A rare case report |
| title_sort | spontaneous ruptured bilateral tubal ectopic pregnancy following natural conception a rare case report |
| topic | bilateral tubal gestation ruptured spontaneous |
| url | http://www.jhrsonline.org/article.asp?issn=0974-1208;year=2021;volume=14;issue=2;spage=196;epage=199;aulast=Iwe |
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