Fatal ruptured ectopic pregnancy – a case report

Jayanth, SH; Chandra, Girish; Praveen, S

doi:10.1177/0025817218795337

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…9 History of pelvic inflammatory diseases and use of oral contraceptive pills are the most common risk factors associated with ectopic pregnancy. 10 Early diagnosis of ectopic pregnancy is challenging, especially when the patient is asymptomatic. The suspicion of ectopic pregnancy arises when a woman presented with a history of abdominal pain and vaginal bleeding with a positive pregnancy test.…”

Section: Discussionmentioning

confidence: 99%

Mortality due to ectopic pregnancy revealed by police surgeon

Sharma,

Yadav

2023

Int J Res Med Sci

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A pregnancy is said to be ectopic when implantation of fertilized ovum occurs other than uterine cavity. The incidence of ectopic pregnancy is increasing globally over time and carries significant maternal mortality due to the risk of rupture of ectopic pregnancy. Ruptured ectopic pregnancy is a life threatening surgical emergency. Usually, any abnormality in tubal morphology or function may lead to tubal ectopic pregnancy. Also an altered hormonal ratio (i.e. estrogen/progesterone) may affect tubal motility and cause ectopic pregnancy. To make diagnosis of ectopic pregnancy merely on the basis of symptoms is difficult and challenging task for clinician due to its non-specific clinical manifestations and such cases can be present with normal intrauterine pregnancy. Authors report a case of ruptured tubal ectopic pregnancy which remained undiagnosed clinically because clinician refer the patient to higher center for ultrasonography to confirm or rule out the ectopic pregnancy as there was non-availability of bed side ultrasonography machines in rural health care centers in developing countries like our country. but patient died in ambulance before reaching to higher center. The autopsy revealed 1.5-liter fluid and clotted blood in the peritoneal cavity. The right fallopian tube was bulged along with a tear evident on the anterior and superior aspect. Complete dissection revealed a gestational sac of diameter 7.5 cm containing a foetus and placenta. All other organs were pale and normal. The uterine cavity was found empty. The cause of death was attributed to ruptured ectopic pregnancy. This case emphasizes the fact that “health for all” and importance of the availability of various radiological investigations including ultrasonography, prompt diagnosis, laparoscopic management are the minimal demand of rural health care centers which play a major role in saving of life. Furthermore, this report envisions benefitting clinicians and autopsy surgeons facing similar cases in their practice. Finally, this case is another addition in maternal mortality data.

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Section: Discussionmentioning

confidence: 99%

Mortality due to ectopic pregnancy revealed by police surgeon

Sharma,

Yadav

2023

Int J Res Med Sci

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“…Ectopic pregnancy is reported in one in every 100 to 150 pregnancies with major risk factors being age, infertility, smoking, previous ectopic pregnancy, intrauterine device usage, pelvic inflammatory diseases, etc. [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Sudden Death Due to Rupture of Ectopic Pregnancy in a Young Lactating Mother

Keche¹,

V²,

JS³

2023

Cureus

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The incidence of ectopic pregnancy in India is increasing over time along with a considerable mortality rate. The common site for ectopic pregnancy is the fallopian tubes and is also associated with a higher incidence of mortality following the tubal rupture. Even though lactational amenorrhea prevents pregnancy to some extent, the probability of pregnancy increases when the frequency of lactation decreases. Rupture of ectopic pregnancy can occur abruptly without any serious symptoms as well. One should not ignore even mild symptoms in females of reproductive age group especially those who are sexually active.A 25-year-old female with an alleged history of sudden onset of severe abdominal pain was taken to AIIMS Bhopal, where she was declared brought dead and her body was sent for autopsy. She got married at the age of 23 years and was still breastfeeding her 11-month-old child.The autopsy revealed 2.2 liters of fluid and clotted blood in the peritoneal cavity. The right fallopian tube enlarged along with a tear of size 1cm x 1cm evident on the anterior aspect. Meticulous dissection revealed a membranous sac of size 4cm x 2cm x 2cm containing a placenta of size 1cm x 1cm and an embryo of size 2cm x 1cm. All other organs were pale and normal. The uterine cavity was found empty. The cause of death was attributed to ruptured ectopic pregnancy.

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