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Ruptured secondary abdominal pregnancy after primary laparoscopic treatment for tubal pregnancy: A case report.

Abstract Most secondary abdominal pregnancies happen after spontaneous abortion of tubal pregnancy or ruptured intrauterine pregnancy. However, we presented a case of ruptured secondary abdominal pregnancy after primary laparoscopic treatment of tubal pregnancy.
PMID
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Authors

Mayor MeshTerms

Laparoscopy

Keywords
Journal Title medicine
Publication Year Start




PMID- 29390363
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 50
DP  - 2017 Dec
TI  - Ruptured secondary abdominal pregnancy after primary laparoscopic treatment for
      tubal pregnancy: A case report.
PG  - e9254
LID - 10.1097/MD.0000000000009254 [doi]
AB  - INTRODUCTION: Most secondary abdominal pregnancies happen after spontaneous
      abortion of tubal pregnancy or ruptured intrauterine pregnancy. However, we
      presented a case of ruptured secondary abdominal pregnancy after primary
      laparoscopic treatment of tubal pregnancy. CASE REPORT: The ectopic pregnant
      lesion in the affected tube was thoroughly removed in the primary laparoscopy,
      and nothing abnormal was detected in abdomen or pelvis. Beta human chorionic
      gonadotropin levels dropped significantly after surgery, but the patient came
      back again for severe abdominal pain with beta human chorionic gonadotropin
      increasing, and free peritoneal fluid in the pouch of Douglas was detected at
      ultrasonography. The secondary laparoscopy was done according to the
      intraperitoneal hemorrhage and unstable vital signs. The secondary pregnancy was 
      found ruptured in the splenic flexure of the colon. Although several cases of
      secondary abdominal pregnancies were reported in the literature, herein we
      describe a case secondary to the salpingotomy of the primary tubal pregnancy.
      CONCLUSION: After surgery for ectopic pregnancy, the patient's serum beta human
      chorionic gonadotropin levels should be closely followed until negative. When
      persistent ectopic pregnancy was suspected after surgery, physicians should keep 
      in mind a rare possibility of secondary abdominal pregnancy.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Zhang, Duoduo
AU  - Zhang D
AD  - Department of Obstetrics & Gynecology, Peking Union Medical College Hospital
      (PUMCH), Beijing, People's Republic of China.
FAU - Chen, Anxia
AU  - Chen A
FAU - Gu, Yu
AU  - Gu Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Chorionic Gonadotropin, beta Subunit, Human)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Chorionic Gonadotropin, beta Subunit, Human/blood
MH  - Female
MH  - Hemoperitoneum/diagnostic imaging/surgery
MH  - Humans
MH  - *Laparoscopy
MH  - Pregnancy
MH  - Pregnancy, Abdominal/*diagnostic imaging/*surgery
MH  - Pregnancy, Tubal/*diagnostic imaging/*surgery
MH  - Rupture
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009254 [doi]
AID - 00005792-201712150-00113 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(50):e9254. doi: 10.1097/MD.0000000000009254.