Multiple uterine fibroids: risk for ectopic pregnancy – a case report and review of literature
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20263054Keywords:
Multiple Uterine fibroids, Risk factor, Ectopic pregnancy, Case reportAbstract
Ectopic pregnancy is a medical emergency that still has a huge debilitating effect on maternal health. This condition can result in hemorrhagic shock with resultant morbidity and mortality when it is mis-diagnosed or there is delay in diagnosis and management. We present a 40year old multiparous lady with multiple uterine fibroids and without other identifiable risk factors for ectopic pregnancy who suddenly lapsed into shock and had a successful appropriate and timely intervention-Salpingectomy for ruptured ectopic pregnancy.
References
Puttaraju CM, Prasad NN, Sailakshmi MPA. A clinical study of trends of ectopic pregnancy and its management in a tertiary care hospital. Int J Reprod Contracept Obstet Gynecol. 2019;8(12):4834-41.
Ilikannu SO, Dunsin TO, Jombo SE, Agadaga DI, Onyeoji CP, Uwuigbe AO. Abdominal ectopic pregnancy still a diagnostic dilemma: a case report. Int J Clin Diagn Pathol. 2021;4(4 Pt A):1-3.
Ononuju CN, Ogbe AE, Changkat LL, Okwaraoha BO, Chinaka UE. Ectopic pregnancy in Dalhatu Araf Specialist Hospital Lafia Nigeria - A 5-year review. Niger Postgrad Med J. 2019;26(4):235-8.
Backman T, Rauramo I, Huhtala S, Koskenvuo M. Pregnancy during the use of levonorgestrel intrauterine system. Am J Obstet Gynecol. 2004;190(1):50-4.
Hwang A, Chou L, Islam MM, Li YC, Syed-Abdul S. Risk factors for ectopic pregnancy in the Taiwanese population: a retrospective observational study. Arch Gynecol Obstet. 2016;294(4):779-83.
Panelli DM, Philips CH, Brady PC. Incidence, diagnosis and management of tubal and nontubal ectopic pregnancies: a review. Fertil Res Pract. 2015;1:15.
Crochet JR, Bastian LA, Chireau MV. Does this woman have an ectopic pregnancy? The rational clinical examination systematic review. JAMA. 2013;309(16):1722-9.
Kalinski MA, Guss DA. Hemorrhagic shock from a ruptured ectopic pregnancy in a patient with a negative urine pregnancy test result. Ann Emerg Med. 2002;40(1):102-5.
Newbatt E, Beckles Z, Ullman R, Lumsden MA; Guideline Development Group. Ectopic pregnancy and miscarriage: summary of NICE guidance. BMJ. 2012;345:e8136.
Wang YL, Weng SS, Huang WC, Su TH. Laparoscopic management of Ectopic Pregnancy in unusual location. Taiwanese Journal of Obstetrics and Gynaecology. 2014;53(4):466-70.
Okoror CEM, Uhunmwangho BO, Idemudia O. Ectopic pregnancy at a teaching hospital, Nigeria: an analysis of presentation and risk factors. Menoufia Med J. 2020;33(2):415-8.
American College of Obstetricians and Gynecologists' Committee on Practice Bulletins-Gynecology. ACOG Practice Bulletin No. 193: Tubal Ectopic Pregnancy. Obstet Gynecol. 2018;131(3):e91-103.
Akaba GO, Agida TE, Onafowokan O. Ectopic pregnancy in Nigeria's federal capital territory: a six-year review. Niger J Med. 2012;21(2):241-5.