Successful diagnosis of a ruptured ectopic pregnancy: A woman without abdominal pain and vaginal bleeding

Year 2024, Volume: 37 Issue: 1, 100 - 102, 28.01.2024

Emre Kudu , Sena Özge Aslan , Dilan Genç , Oğuzhan Demir , Arzu Denizbaşı

https://doi.org/10.5472/marumj.1379879

Abstract

Ectopic pregnancy is the implantation of the developing embryo outside the uterine cavity. It usually occurs in the fallopian tubes. One
of the critical complications of ectopic pregnancy is rupture. The most common symptoms of ectopic pregnancy rupture are vaginal
bleeding and abdominal pain. In atypical presentations, the diagnosis is based on suspicion. Herein, we presented a case of ruptured
ectopic pregnancy with an atypical presentation. The diagnosis of ruptured ectopic pregnancy should be considered when women with
childbearing potential apply to the emergency department.

Keywords

Diagnose challenge, Ectopic pregnancy, Hemoperitoneum

References

• Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod 2002; 17:3224-30. doi: 10.1093/ humrep/17.12.3224.
• Van Den Eeden SK, Shan J, Bruce C, Glasser M. Ectopic pregnancy rate and treatment utilization in a large managed care organization. Obstet Gynecol 2005;105:1052-7. doi: 10.1097/01.AOG.000.015.8860.26939.2d.
• Mann LM, Kreisel K, Llata E, Hong J, Torrone EA. Trends in ectopic pregnancy diagnoses in united states emergency departments, 2006-2013. Matern Child Health J 2020;24:213- 21. doi: 10.1007/s10995.019.02842-0.
• Murray H, Baakdah H, Bardell T, Tulandi T. Diagnosis and treatment of ectopic pregnancy. CMAJ 2005;11:905-12. doi: 10.1503/cmaj.050222.
• Feng C, Chen ZY, Zhang J, Xu H, Zhang XM, Huang XF. Clinical utility of serum reproductive hormones for the early diagnosis of ectopic pregnancy in the first trimester. J Obstet Gynaecol Res 2013;39:528-35. doi: 10.1111/j.1447- 0756.2012.02001.x.
• Casanova BC, Sammel MD, Chittams J, Timbers K, Kulp JL, Barnhart KT. Prediction of outcome in women with symptomatic first-trimester pregnancy: focus on intrauterine rather than ectopic gestation. J Womens Health (Larchmt) 2009;18:195-200. doi: 10.1089/jwh.2008.0896.
• Chen L, Malek T. Point-of-care ultrasonography in emergency and critical care medicine. Crit Care Nurs Q 2018 ;41:94-101. doi: 10.1097/CNQ.000.000.0000000190.