A Case Report on Left Ruptured Tubal Ectopic Pregnancy Post - Tubal Recanalization

Abstract

Background: An ectopic pregnancy occurs when the fertilized egg is implanted and develops outside the endometrium, i.e. in the fallopian tubes, cervix, ovary, or abdomen. It commonly presents as vaginal bleeding, lower abdominal pain, and amenorrhea. Methods: In this case study, we report on a 40-year-old woman G3P2 L2 complaining of excessive bleeding per vagina and abdominal pain for 5 days along with generalized weakness for 15 days, presented to the emergency department of SSIMS and RC, Davangere. Results: On examination and ultrasound reports, the patient was diagnosed with posttubal recanalization with 3 weeks left ruptured tubal ectopic pregnancy. The patient consented to undergo an emergency laparotomy with bilateral salpingectomy under spinal anesthesia; thus her condition was successfully managed. Conclusion: Maternal age of 35 years or older, and a history of tubal sterilization and recanalization has been known to increase the risk of ectopic pregnancies.