A rare case report of recurrent ectopic pregnancy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20201262Keywords:
Fallopian tube, Human chorionic gonadotropin, Laparotomy, Recurrent ectopic pregnancy, Salpingectomy, UltrasoundAbstract
This case presenting a 30-year-old lady, a case of G4A1E2 who presented with history of 1 month of amenorrhoea, followed by bleeding per vaginum 1 week back for 3 days. Presented to hospital with spotting PV and pain abdomen for 2 days. UPT done at home was positive. USG revealed right ovarian complex haemorrhagic cyst and left adnexal ectopic pregnancy near left ovarian fimbriae. Conservative management by Methotrexate and Folinic acid regimen was tried but as there were no signs of resolution on serial ultrasonography reports and serial human chorionic gonadotropin (hCG) levels did not fall as expected, hence decision of laparoscopy/laparotomy was made and salpingectomy was done. Later patient was followed up with serial hCG levels.
References
Odendaal HJ, Schaetzing AE, Kruger TK. Textbook of Clinical Gynecology. 2nd Edition. Juta Academic publisher. Cape Town, South Africa; 2001.
Jophy R, Thomas A, Mhaskar A. Ectopic pregnancy 5 years’ experience. J Obstet Gynecol India. 2002;52(4):55-8.
Yao M, Tulandi T. Current status of surgical and nonsurgical management of ectopic pregnancy. Fertil Steril. 1997;67:421.
Department of Health. Why mothers die? In: Department of Health, eds. The Report on Confidential Enquiries into Maternal Deaths in the United Kingdom 1997-1999. London: HMSO; 2001.
Luciano G. Nardo. The dilemma of recurrent ectopic pregnancy after tubal surgery and in vitro fertilization. What to do? Reprod Biomed Online. 2005;10(3):300.
Pisarska MD, Carson SA. Incidence and risk factors for ectopic pregnancy. Clin Obstet Gynecol. 1999;42(2-8):55-6.
Nabeshima H, Nishimoto M, Utsunomiya H, Arai M, Ugajin T, Terada Y, et al. Total laparoscopic conservative surgery for an intramural ectopic pregnancy. Diagnos Therap Endos. 2010;2010.
Thia EW, Loi K, Wang JJ, Siow A. Methotrexate treatment for ectopic pregnancy at the KK Women’s and Children’s Hospital, Singapore. Singapore Med J. 2009;50(11):1058-61.
