Ruptured tubal ectopic pregnancy with a giant paratubal cyst successfully managed by emergency laparoscopy

Taqwa Ferdous; Shwe Lwin Moe Myint; Slavyana Maydanovych

doi:10.18203/2320-1770.ijrcog20263456

Authors

Taqwa Ferdous Department of Obstetrics and Gynaecology, Hull Royal Hospital, Hull, United Kingdom
Shwe Lwin Moe Myint Department of Obstetrics and Gynaecology, Hull Royal Hospital, Hull, United Kingdom
Slavyana Maydanovych Department of Obstetrics and Gynaecology, Hull Royal Hospital, Hull, United Kingdom

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20263456

Keywords:

Ectopic pregnancy, Paratubal cyst, Laparoscopy, Fertility preservation

Abstract

A ruptured ectopic pregnancy is a life-threatening gynaecological emergency requiring prompt surgical intervention. The presence of a giant adnexal cyst can significantly complicate the surgical approach by limiting access and visualisation. We present the case of a 21-year-old primigravida with a ruptured left tubal ectopic pregnancy associated with a giant right paratubal cyst measuring 18×17×23 cm. Despite the technical challenges, the patient was successfully managed laparoscopically with multidisciplinary input, avoiding laparotomy and preserving future fertility.

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