Live ectopic pregnancy

Discussion:

A female presented with 6 weeks of amenorrhea, a positive pregnancy test, and lower abdominal mild pain. Ultrasound shows a left adnexal live ectopic pregnancy corresponding to the period of amenorrhea.

Laparoscopy was done after a few hours; left salpingectomy was done. There is an exophytic lesion from the uterus in intraoperative photos which is a subserosal fibroid ( reported during 1st pregnancy ). However, this fibroid was missed during present ultrasound which makes this case an example of satisfaction of search error.

Intraoperative photos courtesy: Treating Dr. Drashti Patel.

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