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Case report: Ectopic pregnancy in the interstitial part of the fallopian tube

Ectopic pregnancy remains one of the most common causes of pregnancy-related death in the first trimester. 2.4% of ectopic pregnancies occur in the interstitial part of the fallopian tube. As the symptoms of this condition are non-specific and the localization is associated with a higher risk of ble...

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Autores principales: Bužinskienė, Diana, Mačionytė, Monika, Dasevičius, Darius, Šilkūnas, Mindaugas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352450/
https://www.ncbi.nlm.nih.gov/pubmed/37470044
http://dx.doi.org/10.3389/fsurg.2023.1197036
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author Bužinskienė, Diana
Mačionytė, Monika
Dasevičius, Darius
Šilkūnas, Mindaugas
author_facet Bužinskienė, Diana
Mačionytė, Monika
Dasevičius, Darius
Šilkūnas, Mindaugas
author_sort Bužinskienė, Diana
collection PubMed
description Ectopic pregnancy remains one of the most common causes of pregnancy-related death in the first trimester. 2.4% of ectopic pregnancies occur in the interstitial part of the fallopian tube. As the symptoms of this condition are non-specific and the localization is associated with a higher risk of bleeding, early diagnosis of interstitial pregnancies is important, based not only on clinical symptoms, but also on additional diagnostic methods. Early diagnosis leads to better treatment-related outcomes. We report a 32-year-old female patient who came to the emergency department because of pain in the lower abdomen and right iliac region and bloody vaginal discharge. During palpation of the abdomen, the pain was localized in the lower part of the abdomen. Human chorionic gonadotropin (hCG) was significantly increased in biochemical tests. Transvaginal ultrasound examination of internal genital organs, abdominal and pelvic computer tomography (CT) were per-formed. An ectopic pregnancy was suspected. Thus, the patient was hospitalized in the gynecology department for surgical treatment. A laparoscopy was performed and an ectopic pregnancy was diagnosed in the interstitial part of the right fallopian tube and in the right uterine corner, which led to right salpingectomy and right uterine angle resection. Thus, interstitial pregnancy is a rare and life-threatening gynecological condition due to the higher risk of bleeding compared to other ectopic pregnancies. However, appropriate diagnosis based on clinical signs, transvaginal ultrasound findings and hCG levels in the blood ensures early diagnosis of interstitial pregnancy, which leads to the choice of medical treatment with methotrexate or minimally invasive surgical techniques.
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spelling pubmed-103524502023-07-19 Case report: Ectopic pregnancy in the interstitial part of the fallopian tube Bužinskienė, Diana Mačionytė, Monika Dasevičius, Darius Šilkūnas, Mindaugas Front Surg Surgery Ectopic pregnancy remains one of the most common causes of pregnancy-related death in the first trimester. 2.4% of ectopic pregnancies occur in the interstitial part of the fallopian tube. As the symptoms of this condition are non-specific and the localization is associated with a higher risk of bleeding, early diagnosis of interstitial pregnancies is important, based not only on clinical symptoms, but also on additional diagnostic methods. Early diagnosis leads to better treatment-related outcomes. We report a 32-year-old female patient who came to the emergency department because of pain in the lower abdomen and right iliac region and bloody vaginal discharge. During palpation of the abdomen, the pain was localized in the lower part of the abdomen. Human chorionic gonadotropin (hCG) was significantly increased in biochemical tests. Transvaginal ultrasound examination of internal genital organs, abdominal and pelvic computer tomography (CT) were per-formed. An ectopic pregnancy was suspected. Thus, the patient was hospitalized in the gynecology department for surgical treatment. A laparoscopy was performed and an ectopic pregnancy was diagnosed in the interstitial part of the right fallopian tube and in the right uterine corner, which led to right salpingectomy and right uterine angle resection. Thus, interstitial pregnancy is a rare and life-threatening gynecological condition due to the higher risk of bleeding compared to other ectopic pregnancies. However, appropriate diagnosis based on clinical signs, transvaginal ultrasound findings and hCG levels in the blood ensures early diagnosis of interstitial pregnancy, which leads to the choice of medical treatment with methotrexate or minimally invasive surgical techniques. Frontiers Media S.A. 2023-07-03 /pmc/articles/PMC10352450/ /pubmed/37470044 http://dx.doi.org/10.3389/fsurg.2023.1197036 Text en © 2023 Bužinskienė, Mačionytė, Dasevičius and Šilkūnas. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Bužinskienė, Diana
Mačionytė, Monika
Dasevičius, Darius
Šilkūnas, Mindaugas
Case report: Ectopic pregnancy in the interstitial part of the fallopian tube
title Case report: Ectopic pregnancy in the interstitial part of the fallopian tube
title_full Case report: Ectopic pregnancy in the interstitial part of the fallopian tube
title_fullStr Case report: Ectopic pregnancy in the interstitial part of the fallopian tube
title_full_unstemmed Case report: Ectopic pregnancy in the interstitial part of the fallopian tube
title_short Case report: Ectopic pregnancy in the interstitial part of the fallopian tube
title_sort case report: ectopic pregnancy in the interstitial part of the fallopian tube
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352450/
https://www.ncbi.nlm.nih.gov/pubmed/37470044
http://dx.doi.org/10.3389/fsurg.2023.1197036
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