Fimbrial miscarriage in tubal ectopic pregnancy

Case contributed by Dr Praveen Jha

Presentation

Non-specific lower abdominal pain, with missed periods since 3 months. Urinary pregnancy test was negative.

Patient Data

Age: 30 years
Gender: Female
Modality: Ultrasound

A vascular heterogenous soft tissue seen adjacent to left ovary, with fluid with internal echoes in pelvis. A simple cyst noted in right ovary.

Case Discussion

Serum B-hCG was advised, and tubal mass lesion with possibility of ectopic pregnancy was considered. However, if B-hCG is inconclusive, patient was also advised to get MRI pelvis to know the nature of mass. B-hCG was 787, and ectopic pregnancy was considered the provisional diagnosis.

Laparoscopy showed it to be a left tubal ectopic pregnancy with fimbrial miscarriage as suggested by hemoperitoneum and products of conception in pelvis. Tube showed serosal inflammation, however not ruptured yet. Histopathology confirmed it as tubal ectopic pregnancy.

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Case Information

rID: 16749
Case created: 17th Feb 2012
Last edited: 12th Jun 2016
System: Obstetrics
Inclusion in quiz mode: Included

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