Author(s):
1. Niama Khan:
Department of Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan
2. Neha Farooq:
Department of Gynaecology, Ayub Teaching Hospital, Abbottabad, Pakistan
3. Mohsin khan:
Ayub Teaching Hospital, Abbottabad, Pakistan
Abstract:
The most common twin ectopic pregnancy is heterotopic (1/7000). We are reporting a rare case of twin tubo-ovarian ectopic pregnancy, which was presented in the emergency department of Ayub Teaching Hospital Abbottabad. A 30year-old female arrived with worsening lower abdominal pain persisting for three weeks. She also had per-vaginal bleeding with passage of clots 1week ago. Clinical examination revealed a tense abdomen with tenderness in the left iliac fossa. Per-vaginally, there was cervical motion tenderness and fullness in the posterior fornix. Beta HCG level revealed a sub-optimal rise whereas Transabdominal ultrasound showed an echogenic shadow in the left ovary. The uterus appeared normal. On exploratory laparotomy a large left ovarian mass was seen with ruptured chronic right tubal pregnancy with adhesions. On cut-section of the ovary, a small foetus was evident. We have concluded that in case of subacute abdominal pain and an-echogenic mass on ultrasonography in reproductive age contralateral adnexa should be accessed to exclude contralateral ectopic pregnancy.
Page(s):
1172-1174
Published:
Journal: Journal of Pakistan Medical Association, Volume: 74, Issue: 6, Year: 2024
Keywords:
laparotomy
,
Ovarian Pregnancy
,
Tubal Ectopic
References:
References are not available for this document.
Citations
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