Journal of Regional Section of Serbian Medical Association in Zajecar
Year 2004     Volumen 29     Number 1
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UDK 618.31-089.888.14  ISSN 0350-2899, 29(2004) 1 p.38-41

Case Report

Tubal Abortion at Ampulla Extra Uterine Pregnancy - Case Report

Boban Stanojević (1), Dragan Perišić (2)
(1) Zdravstveni centar Jagodina, (2) Zdravstveni centar Zaječar

This paper describes the case of the patient, at which the tubal pregnancy arrived in the eighth week of the gestation, which brings to tubal abortion. The tubal abortion is the most often result of the ectopic pregnancy, located in the ampulla part of the oviduct. The fertilized ovary cell is implanted herself in the mucous membrane of the oviduct, the tubal pregnancy progresses and because of the reduced flow, which can not satisfy the growing demand of the embryo, the tubal miscarriage arises. We set up diagnosis at the patient on the base of: anamnesis, palpation inspection, laboratory values and ultrasound. -HCG has not performed because of the missing of the time, since the vital functions of the patient were in danger. From the anamnesis of the patient, we found out, that the amenorrhea was present and she had the pains in the lower area of the abdomen and right adnexis. The patient was pale and bewail the overall weakness and dizziness. The blood pressure was reduced, but pulse was more frequent Beside the uterus, tumefaction has been groped, formed like the sausage and sensitive to pressure. Douglass space was also sensitive to pressure. Laboratory values referred to reduced number of erythrocytes and the quantity of haemoglobin, value drop of Hct and increased number of leukocytes.
Ultrasonic inspection indicated greater quantity of free liquid in the abdomen and Douglass space. Differentially diagnostic, the initial abortion at intrauterine pregnancy, hydrosalpinks, tumour of adnexis of inflammation nature, periapendicular abscess and bound cyst can be considered. The treatment of the tubal pregnancy of the patient was surgical and salpingektomy was made. The patient received seven unit of the suitable blood group and she was treated with complex solution and antibiotics. Postoperative process passed regularly.
Key words: Tubal abortion, extrauterine pregnancy

  Note: kompletan tekst rada na srpskom jeziku  

Corresponding Address:
Boban Stanojević
Save Cvetkovića 4, 35000 Jagodina
Tel: (035) 242-801
e-mail: rasad@ptt.yu

Paper received: 10.10.2003.
Paper accepted: 19.02.2004.
Published online: 14.05.2004.

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