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Case ReportTubal Abortion at Ampulla Extra
Uterine Pregnancy - Case Report
Boban Stanojević (1), Dragan Perišić (2)
(1) Zdravstveni centar Jagodina, (2) Zdravstveni centar
Zaječar
Summary:
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 |
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