Tazeen Makhdoom*, Batool Khan, Zuha Fathima, Madheeha Mahmood and Mohammed Othman Alkurbi

Department of OBGY, Dubai Hospital, UAE

*Corresponding Author: Tazeen Makhdoom, Department of OBGY, Dubai Hospital, UAE.

Received: August 07, 2023; Published: August 23, 2023

Abstract

When the pregnancy occurs outside the uterine cavity, it is called an ectopic pregnancy. If a pregnant woman experiences amenorrhea, abdominal pain, and vaginal bleeding in the first trimester, we should suspect an ectopic pregnancy and should be confirmed by hormonal test bhcg above discriminatory zone (1500 iu/ml) and empty uterus on transvaginal ultrasound. We can manage such ectopic pregnancy by injection of methotrexate or women might need surgical intervention like laparoscopy or laparotomy which depends on the hemodynamic stability of the woman.

In this case, the report we will mention about a 27-year-old African female who presented to the emergency department of DH with gestational amenorrhea of 11 weeks and 2 days with sudden abdominal pain and vaginal bleeding of one-day duration with fainting episodes and shoulder tip pain also. This patient did not do any medical checkups before due to financial issues. She was vitally unstable. Her BHCG was 52,855mIU/ml and a transvaginal scan in emergency showed an alive fetus of 12 weeks size in the left tube and empty uterus, with the impression of unruptured ectopic. She was tachycardic, hypovolemic with severe anemia and hemoglobin of 6.2 g/dl. So the decision was taken to do laparotomy and salpingectomy urgently.

 Keywords: Live; Tubal Ectopic; Pregnancy; Dubai Hospital

References

1. “American College of Obstetricians and Gynecologists ACOG practice bulletin no. 191. Tubal ectopic pregnancy”. Obstetrics and Gynecology 131 (2018).
2. Taran FA., et al. “The diagnosis and treatment of ectopic pregnancy”. Deutsches Ärzteblatt International 112 (2015): 693-704.
3. Panelli DM., et al. “Incidence, diagnosis, and management of tubal and nontubal ectopic pregnancies: a review”. Fertility Research and Practice 1 (2015): 15.
4. Khalil MM., et al. “An advanced second-trimester tubal pregnancy: case report”. Middle East Fertility Society Journal 17 (2012): 136-138.
5. Neisani Samani E., et al. “Ectopic Pregnancy in an Adolescent: A Case Report and Review of Literature”. Cureus12 (2022): e32220.
6. Gari R., et al. “A Live 13 Weeks Ruptured Ectopic Pregnancy: A Case Report”. Cureus10 (2020): e10993.

Citation

Citation: Tazeen Makhdoom., et al. “A Live Advanced Tubal Ectopic Pregnancy-A Case Report from Dubai Hospital”.Acta Scientific Medical Sciences 7.9 (2023): 148-150.

Copyright

Copyright: © 2023 Tazeen Makhdoom., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.