An unexpected case of ectopic pregnancy of the mesosalpinx

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dc.contributor.authorSiew, Jia Yun Shaynaen_US
dc.contributor.authorLiu, Jia Yien_US
dc.contributor.authorGoh, Siak Mingen_US
dc.date.accessioned2024-09-24T09:07:03Z
dc.date.available2024-09-24T09:07:03Z
dc.date.issued2024-03
dc.description.abstract1.3% of ectopic pregnancies occur in the abdominal cavity and these have 7.7 times higher mortality rates than tubal pregnancies. We presented a case who came at 5 weeks of amenorrhea with lower abdominal pain, vomiting, and vaginal bleeding. Ultrasound imaging showed a heterogenous vascular solid-cystic adnexal structure with hemoperitoneum. She underwent an emergency diagnostic laparoscopy. Intra-operatively, pregnancy was noted to be sited at the left proximal mesosalpinx. Ectopic pregnancy was removed through the ruptured point and the defect was stitched to restore anatomy and secure hemostasis. Risk factors, clinical presentation, and treatment of abdominal pregnancies are similar to that of any ectopic pregnancy. It is not unusual for diagnosis to be made only intra-operatively as in our case. The patient was offered a diagnostic laparoscopy due to a presumptive diagnosis of tubal pregnancy. As conception was early, completion resection was achieved. Abdominal pregnancy is uncommon and challenging to diagnose, therefore requires a high index of suspicion. Surgery is the mainstay treatment.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, KK Women’s and Children’s Hospital, Singaporeen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, KK Women’s and Children’s Hospital, Singaporeen_US
dc.identifier.affiliationsDepartment of Minimally Invasive Surgery, KK Women’s and Children’s Hospital, Singaporeen_US
dc.identifier.citationSiew Jia Yun Shayna, Liu Jia Yi, Goh Siak Ming . An unexpected case of ectopic pregnancy of the mesosalpinx . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2024 Mar; 13(3): 733-736en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232466
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20240487en_US
dc.subjectEctopic pregnancyen_US
dc.subjectAbdominalen_US
dc.subjectMesosalpinxen_US
dc.subjectLaparoscopyen_US
dc.titleAn unexpected case of ectopic pregnancy of the mesosalpinxen_US
dc.typeJournal Articleen_US
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