Laparoscopic Management of a Large Cornual Ectopic Pregnancy Associated with an Adenomatoid Tumour

Craig, E.; Beirne, James; Cromie, A.R.; Johnston, K.

doi:10.1016/j.jmig.2010.08.518

Cited by 2 publications

(3 citation statements)

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“…Cases of large ectopic pregnancies, other than the fallopian tube, have been previously published, which are accommodating and more distensible for a developing fetus [18][19][20]. However, there is limited literature on large tubal ectopic pregnancies.…”

Section: Discussionmentioning

confidence: 99%

The Largest Tubal Pregnancy: 14th Week

Elmoheen

Salem

Eltawagny

et al. 2020

Case Reports in Obstetrics and Gynecology

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Subsequent development and implantation of embryo outside the uterine lining are defined as an ectopic pregnancy. Ectopic pregnancies have a wide range of presentations, for example, acute hemoperitoneum to chronic ectopic pregnancy. The case presented is an unusual case of ectopic pregnancy with large hematosalpinx with classic symptoms. To the best of the authors’ knowledge, this case is the largest intact tubal ectopic pregnancy reported ever in the 14th week of gestation. A 40-year-old patient presented to the emergency department with lower abdominal pain, mild dysuria, and loose motion. The patient’s previous menstrual cycles were regular till four months ago, then started to be irregular, and she had no history of chronic diseases except repeated pelvic inflammatory diseases (PID). Clinically, the patient was hemodynamically stable. On palpation, the abdomen was tender, and cervical movements were not tender. BHCG in the blood came very high. The bedside point-of-care ultrasound (POCUS) showed free fluid in the abdomen and a sac in the left adnexa with a living fetus (visible heartbeats). The conventional ultrasound showed 14 weeks of an extrauterine gestational sac with visible early pregnancy. Differential diagnosis was either an abdominal pregnancy versus a complicated tubal pregnancy. The surgical pathology report confirmed the diagnosis of ectopic tubal pregnancy as the tube was dilated in the middle portion containing chorionic villi, decidual reaction, and the whole gestational sac consistent with the ectopic tubal pregnancy. The patient had a successful laparotomy with salpingectomy and hemostasis and did well after the operation. So, an intact ectopic tubal pregnancy may last until the 14th week of gestation.

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Section: Discussionmentioning

confidence: 99%

The Largest Tubal Pregnancy: 14th Week

Elmoheen

Salem

Eltawagny

et al. 2020

Case Reports in Obstetrics and Gynecology

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“…One of the presented cases describes a ruptured ectopic pregnancy in the tubal ampulla at 11 weeks 1 day of gestation with a beta-HCG over 155,000 IU/L. Cases of large ectopic pregnancies have previously been published in sites other than the fallopian tube, which are more distensible and accommodating for a developing fetus [ 1 , [7] , [8] , [9] ]. The literature, however, on large tubal ectopic pregnancies is much more limited.…”

Section: Discussionmentioning

confidence: 99%

“…The other case report, detailing a ruptured cornual ectopic pregnancy at over 17 weeks' gestation, is also remarkable. While literature has been published describing large cornual ectopic pregnancies, most cases have presented substantially earlier than 17 weeks [ 8 , [16] , [17] , [18] , [19] , [20] ]. The authors found only one published report demonstrating a cornual ectopic pregnancy at approximately 19 weeks' gestation; however, this was specifically in the context of an incomplete uterine septum [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports

Gauvin

Amberger

Louie

et al. 2019

Case Reports in Women's Health

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Ectopic pregnancy is a life-threatening condition affecting up to 2% of gestations. Implantation in the fallopian tube is most common, with symptoms typically presenting earlier for gestations in the ampulla and isthmus compared with the cornua and non-tubal sites. In this paper, the cases are described of two patients with advanced ectopic pregnancies that ruptured. One woman aged 36 years presented at 17 1/7 weeks' gestation with a ruptured cornual ectopic pregnancy. The other woman, aged 35 years, presented at 11 1/7′ weeks gestation with a ruptured ectopic pregnancy in the left tubal ampulla. To our knowledge, there are no other reported cases of a tubal ampulla pregnancy presenting at such an advanced gestation with no prior symptoms.

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Laparoscopic Management of a Large Cornual Ectopic Pregnancy Associated with an Adenomatoid Tumour

Cited by 2 publications

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The Largest Tubal Pregnancy: 14th Week

The Largest Tubal Pregnancy: 14th Week

Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports

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Laparoscopic Management of a Large Cornual Ectopic Pregnancy Associated with an Adenomatoid Tumour

Cited by 2 publications

References 0 publications

The Largest Tubal Pregnancy: 14th Week

The Largest Tubal Pregnancy: 14th Week

Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports

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Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports