Complete tubal abortion which didn't require salpingectomy
Authors:
Jan Zapletal; Kateřina Maxová; Michael Jiří Halaška; Lukáš Rob; Martin Hruda
Authors‘ workplace:
Gynekologicko-porodnická klinika 3. LF UK a FNKV Praha
Published in:
Ceska Gynekol 2024; 89(3): 210-214
Category:
Case Report
doi:
https://doi.org/10.48095/cccg2024210
Overview
Tubal abortion is characterized by the extrusion of the foetus into the abdominal (peritoneal) cavity. It can either be a complete extrusion or incomplete with residual tissue remaining in the fallopian tube. It is a type of ectopic pregnancy that is difficult to determine the exact incidence of tubal pregnancies. Identifying cases of tubal abortions is crucial for individualized care since it can lead to a more conservative treatment approach. The diagnosis should be based on ultrasound imaging, b-hCG levels and visual conformation during exploratory surgery, either open or laparoscopic. The article describes the case of a 30-year old patient who presented with lower abdominal pain and was admitted for a suspected ectopic pregnancy. Ultrasound imaging showed a mass resembling a tubal pregnancy next to the uterus with b-hCG levels of 111.8 U/L. During laparoscopic surgery, a tubal abortion was detected in the pouch of Douglas (Rectouterine pouch). This finding led us to preserve both fallopian tubes. Histopathology confirmed our clinical findings. A conservative approach can be sufficient in case of tubal abortions, which can lead to preserved fertility and tubal functions.
Keywords:
ectopic pregnancy – abortion – laparoscopy – tubal abortion – hCG
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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicineArticle was published in
Czech Gynaecology
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