Abstract
intrauterine gestation sac. There was a large area of mixed echogenicity in the right adnexal region and free fluid in the cul-de-sac. In view of the previous history of ectopic pregnancy, and current features suggestive of ruptured ectopic pregnancy, the patient was admitted for urgent laparotomy. Findings showed about 300 mL of blood clot in the pelvis and another 200 mL of fresh bleeding from the ruptured remnant isthmic stump of the right fallopian tube. The left tube was swollen, edematous and adherent, together with the left ovary, to the posterior aspect of the uterus. There were also other bands of adhesions between the large bowel and the fundus of the uterus. The stump of the right tube was excised at the cornual end and sent for histopathology. Hemostasis was secured. The adhesions on the left tube and ovary and between the uterus and bowels were released by adhesiolysis. Peritoneal toileting was performed and the abdomen was closed. The patient was given three units of blood. The postoperative course was uneventful. She was discharged on the 10th postoperative day. Histopathology revealed that the specimen consisted of an irregular, dark greyish tissue measuring 1.8x1.0x0.8 cm. Sections showed fallopian tube with marked serosal congestion and hemorrhage, with a few fragments of trophoblastic tissue in the blood clot (Figure 2). The pathological diagnosis was right fallopian tube ectopic pregnancy.
Published Version
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