Cover Image

Chronic Ectopic Gestation - Rare Case Report

Nandhini Devi S .

Abstract


22 yrs, P1L1, Full term normal vaginal delivery with last child birth of one and half years presented with lower abdominal pain for one month. There was no menstrual irregularity. No history of contraceptive usage. There was right side firm mass palpable just above pubic symphysis. USG finding of Para-ovarian endomentroid cyst or subserousal fibroid. CECT finding possibility of solid ovarian tumor (Fibroma). Provisional diagnosis was differential diagnosis ovarian right fibroma or right Endometriotic cyst. Serum beta HCG was negative. Ca125 was 39.97 Uml.  Laparotomy showed well organized mass of size 6x6cm seen arising from the ampullary region of the right side tube. Omentum seen attached to the surface of mass. HPE         confirmed diagnosis of chronic Ectopic. This case highlights that differential diagnosis of chronic ectopic should be kept in mind, while treating a patient in reproductive age group with a adenexal mass even when serum beta HCG was negative and UPT is negative.

Full Text:

PDF

References


J Ultrasound Med. 1984 Aug;3(8):347-52.

Uur M, Turan C, Vicdan K, Ekici E, Ouz O, Gökmen O. Chronic ectopic pregnancy: a clinical analysis of 62 cases. Aust N Z J Obstet Gynaecol. 1996; 36(2): 186–189.

Bedi DG, Fagan CJ, Nocera RM. Chronic ectopic pregnancy. J Ultrasound Med. 1984 Aug; 3(8):347-52.

Harada, M., Hiroi, H., Fujiwara, T., Fujimoto, A., Kikuchi, A., Osuga, Y., Momoeda, M., Kugu, K., Yano, T. and Taketani, Y. Case of chronic ectopic pregnancy diagnosed in which the complete shape of the fetus was visible by ultrasonography. Journal of Obstetrics and Gynaecology Research. 2010; 36: 462–465.

Nacharaju M, Vellanki V S, Gillellamudi S B, Kotha VK and Alluri A. A Rare Case of Chronic Ectopic Pregnancy Presenting as Large Hematosalpinx. Clinical Medicine Insights Reproductive Health 2014; 8: 1–4.

Manson F. Ectopic pregnancy with negative serum hCG level. http://sonoworld. com/fetus/page.aspx?id=1712. Updated March 28, 2006. Accessed date: 27/08/2014.

Turan C, Ugur M, Dogan M, Ekici E, Vicdan K, Gokmen O. Transvaginal Ultrasonographic findings of Chronic Ectopic Pregnancy. European Journal of Obstetrics & Gynecology and Reproductive Biology.1996 Aug; 67(2):115-119.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.

An Initiative of The Tamil Nadu Dr MGR Medical University