Ruptured Heterotopic Tubal Pregnancy for a Patient with a History of Segmental Salpingectomy from Ectopic Pregnancy: A Case Report.
- Author:
Kyung Bum NAM
1
;
Sook NAMKUNG
;
Myung Sun HONG
;
Heung Cheol KIM
;
Young CHO
;
Young Hee CHOI
Author Information
1. Department of Radiology, Chuncheon Sacred Heart Hospital, Korea. nksook1004@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Heterotopic pregnancy;
Ectopic pregnancy;
Corpus luteum cyst;
Hemoperitoneum;
Ultrasound
- MeSH:
Abdominal Pain;
Adult;
Amenorrhea;
Emergencies;
Fallopian Tubes;
Female;
Gestational Sac;
Hemoperitoneum;
Humans;
Laparotomy;
Ovarian Cysts;
Pregnancy;
Pregnancy, Ectopic;
Pregnancy, Heterotopic;
Pregnancy, Tubal;
Salpingectomy;
Shock
- From:Journal of the Korean Society of Medical Ultrasound
2012;31(3):175-177
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Heterotopic pregnancy refers to the simultaneous development of an intrauterine pregnancy and an extrauterine pregnancy. We experienced a case of a ruptured heterotopic pregnancy for a patient with a history of a right segmental salpingectomy from an ectopic pregnancy. The 30-year-old patient with amenorrhea for six weeks complained of lower abdominal pain with hypovolemic shock. Transabdominal ultrasonography showed diffuse hemoperitoneum with a structure similar to an ectatic tube or a deformed cyst with no echogenic double ring or peripheral hypervascularity in the right adnexa and an intrauterine gestational sac. We considered a ruptured corpus luteum cyst as an ultrasonographic finding and found a ruptured tubal mass in the right salpinx and hemoperitoneum through an emergency laparotomy. We performed a right salpingectomy, and the histopathologic report confirmed ectopic pregnancy.
