Chronic tubal ectopic pregnancy: a rare but challenging diagnosis. (31st July 2014)

• Record Type: Journal Article
• Authors: Drakopoulos, P; Pluchino, N; Yaron, M; Dällenbach, P
• Is Part Of: BMJ case reports. Volume 2014
• Publication Date: 2014-07-31
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2014-205715
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 34-year-old woman without any medical history presented to our hospital emergency unit with a history of 4 days of progressively increasing pain in the left iliac fossa, fever and vaginal bleeding for the past 3 weeks. Urine pregnancy test and serum bhCG were negative. CT scan showed a left pelvic mass compatible with a tubo-ovarian abscess. After transfer to our gynaecology unit, transvaginal ultrasound revealed an empty uterus with a heterogeneous mass in the left adnexal area. We performed a laparoscopy, which revealed an enlarged left haematosalpinx with firm adhesions to the surrounding organs, but no abscess. A total left salpingectomy was undertaken and the histopathological examination revealed the presence of chorionic villi, suggesting the diagnosis of chronic ectopic tubal pregnancy. The postoperative course was uneventful.