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Case Rep Womens Health. 2018 Nov 15;21:e00089. doi: 10.1016/j.crwh.2018.e00089. eCollection 2019 Jan.

Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports.

Case reports in women's health

Caitlin Gauvin, Melissa Amberger, Kevin Louie, Olga Argeros

Affiliations

  1. NYIT College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY, USA.
  2. Department of Surgery, St. Barnabas Hospital, Bronx, NY, USA.
  3. Department of Obstetrics and Gynecology, St. Barnabas Hospital, Bronx, NY, USA.

PMID: 30591911 PMCID: PMC6305792 DOI: 10.1016/j.crwh.2018.e00089

Abstract

Ectopic pregnancy is a life-threatening condition affecting up to 2% of gestations. Implantation in the fallopian tube is most common, with symptoms typically presenting earlier for gestations in the ampulla and isthmus compared with the cornua and non-tubal sites. In this paper, the cases are described of two patients with advanced ectopic pregnancies that ruptured. One woman aged 36 years presented at 17 1/7 weeks' gestation with a ruptured cornual ectopic pregnancy. The other woman, aged 35 years, presented at 11 1/7' weeks gestation with a ruptured ectopic pregnancy in the left tubal ampulla. To our knowledge, there are no other reported cases of a tubal ampulla pregnancy presenting at such an advanced gestation with no prior symptoms.

Keywords: Ectopic pregnancy; Gestational age; Risk factors; Rupture

References

  1. Fertil Steril. 2000 Aug;74(2):407-9 - PubMed
  2. Am J Epidemiol. 2003 Feb 1;157(3):185-94 - PubMed
  3. JSLS. 2007 Oct-Dec;11(4):506-8 - PubMed
  4. Sultan Qaboos Univ Med J. 2011 Aug;11(3):399-402 - PubMed
  5. J Minim Invasive Gynecol. 2013 Nov-Dec;20(6):742-3 - PubMed
  6. Lancet. 2014 Apr 26;383(9927):1444-1445 - PubMed
  7. Int J Gynaecol Obstet. 2015 Jan;128(1):76-7 - PubMed
  8. J Obstet Gynaecol Res. 2015 Nov;41(11):1820-2 - PubMed
  9. J Am Osteopath Assoc. 2016 May 1;116(5):316-9 - PubMed
  10. J Clin Diagn Res. 2016 May;10(5):QD05-6 - PubMed
  11. Eur J Obstet Gynecol Reprod Biol. 2017 Mar;210:69-75 - PubMed
  12. J Ayub Med Coll Abbottabad. 2017 Apr-Jun;29(2):254-257 - PubMed
  13. J Emerg Med. 2017 Oct;53(4):563-567 - PubMed
  14. J Emerg Med. 2017 Dec;53(6):819-828 - PubMed
  15. Case Rep Surg. 2017;2017:8017937 - PubMed
  16. Gynecol Minim Invasive Ther. 2017 Oct-Dec;6(4):191-192 - PubMed
  17. Gynecol Minim Invasive Ther. 2017 Oct-Dec;6(4):199-201 - PubMed
  18. Hum Reprod. 1998 Jul;13(7):2002-4 - PubMed

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