Primary ovarian ectopic pregnancy
30 yr old G2 P1 at 8 weeks with acute onset abdominal pain Chief Complaints Abdominal pain History Previous normal delivery. History of acute onset lower abdominal pain . No history of bleeding pv Vitals Pulse 110/ min. BP- 120/80 mmHg. Physical Examination Per abdomen tenderness present in lower abdomen. PV - uterus normal size forniceal bogginess in right adnexa. Investigations Ultrasound Uterus normal. Right adnexa 4*3 cm lesion with 3*3 mm sac like structure within. Diagnosis Pt taken for laparotomy. OT findings- both fallopian tubes intact. Uterus normal. Left ovary normal. Right ovarian ruptured ectopic pregnancy noted Management Kindly share experiences. Sharing pics of OT findings and histopathology
Surgical intervention is done as was vary essential for life of mother Well done Dr Naik Sahab
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An ectopic pregnancy is characterized by implantation and development of an embryo outside of the uterine cavity. Ectopic pregnancies can occur in the ovary (3.2%), or abdomen (1.3%). Hertig estimated that ovarian pregnancy occurs in one in 25 000 to 40 000 pregnancies. thanks for sharing for very nicely explained Ectopic Pregnancy case.
Surgical intervention is done as was vary essential for life of mother Well done Dr Naik Sahab
Nice work
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36 yr old G3 P2 at 6 weeks presented with abdinal pain *Chief Complaints* History of amenorrhea for one and half months. Lower abdominal pain since one day. *History* Pt had previous 2 normal vaginal deliveries. This time she had amenorrhea and abdominal pain . No bleeding pv *Vitals* Pulse was 106 / min. BP was 110/70 mmHg. *Physical Examination* Per abdomen- tenderness present in suprapubic region. No guarding or rigidity. PV done uterus normal size, Anteverted , right side forniceal bogginess felt. CET positive *Investigations* Hb- 8 gm%. Ultrasound revealed right adnexal mass 3*3 cm and hemoperitoneum 3 +. *Diagnosis* Pt was taken up for laparotomy . OT findings- right sided ruptured isthmic tubal ectopic pregnancy with actuve bleeding and hemoperitoneum of 500 ml *Management* Right sided salpingectomy with left sided tubal ligation done( consent taken).
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34 yr old female presented with abdominal pain and vomiting *Chief Complaints* 34 year old G6 P2 A1 MTP 2 Presented with history of amenorrhea for 2 months. History of abdominal pain and vomiting since 4 days. *History* History of generalised abdominal pain since 4 days. History of multiple episodes of vomiting. Previous 2 normal vaginal deliveries. *Vitals* Pulse 110/ min. BP 90/ 60 mmHg *Physical Examination* Pallor present. No icterus. Per abdomen. Generalised tenderness present . Per vaginal examination uterus normal size. Fornices free. CET negative *Investigations* UPT positive. Hb 7 gm% Ultrasound revealed Single live fetus attached to lobe 6 of liver. Uterus normal ..bilateral adnexa normal. Hemoperitoneum present. *Diagnosis* Pt was taken for laparotomy after starting iv fluids for resuscitation. OT findings. Uterus normal size. Bilateral fallopian tubes and ovaries normal. Clots seen extending from right hypochondriac region to pelvis. Ectopic pregnancy seen attached to lobe 6 of liver with a rent and active bleeding. *Management* Resection of ectopic gestation along with part of liver done with harmonic scalpel. Bilateral tubal ligation done as pt was willing for ligation. 3 pint packed cells transfused. Post op pt discharged on 11 th postop day
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