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Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re
BACKGROUND: Tubal ectopic pregnancies in the late stages of pregnancy are uncommon, and reports on their complications are scarce. We present the case of a woman who had a tubal ectopic pregnancy at around 34 weeks and developed severe pre-eclampsia complications. CASE: A 27-year-old woman presented...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985250/ https://www.ncbi.nlm.nih.gov/pubmed/36870956 http://dx.doi.org/10.1186/s12884-023-05469-w |
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author | Liu, Yang Xu, Xiaoping Liu, Qian Luo, Xiaolan Cai, Bin He, Jingyuan Liu, Ruiqian |
author_facet | Liu, Yang Xu, Xiaoping Liu, Qian Luo, Xiaolan Cai, Bin He, Jingyuan Liu, Ruiqian |
author_sort | Liu, Yang |
collection | PubMed |
description | BACKGROUND: Tubal ectopic pregnancies in the late stages of pregnancy are uncommon, and reports on their complications are scarce. We present the case of a woman who had a tubal ectopic pregnancy at around 34 weeks and developed severe pre-eclampsia complications. CASE: A 27-year-old woman presented to our hospital several times with vomiting and convulsions. A physical exam revealed hypertension, scattered ecchymosis, and a large abdominal mass. A computed tomography (CT) scan performed in an emergency revealed an empty uterus, a stillbirth baby in the abdominal cavity, and a crescent-shaped placenta. Blood tests revealed that the patient had a low platelet count and clotting dysfunction. Laparotomy confirmed advanced right fallopian tube pregnancy without rupture, and salpingectomy was performed. Pathological examination revealed a significantly thickened tubal wall, adhesion of the placenta, and poor placental perfusion. CONCLUSION: The unusually thickened muscular layer of the tube may be one of the reasons for tubal pregnancy progressing to an advanced stage. Placenta adhesion and the special site to which it is attached reduce the risk of rupture. The detection of a crescent-shaped placenta on imaging may aid in the accurate diagnosis, distinguishing between abdominal and tubal pregnancy. Women with advanced ectopic pregnancy are more likely to develop pre-eclampsia and have poorer maternal-fetal outcomes. These negative outcomes may be influenced by abnormal artery remodeling, villous dysplasia, and placental infarction. |
format | Online Article Text |
id | pubmed-9985250 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99852502023-03-05 Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re Liu, Yang Xu, Xiaoping Liu, Qian Luo, Xiaolan Cai, Bin He, Jingyuan Liu, Ruiqian BMC Pregnancy Childbirth Case Report BACKGROUND: Tubal ectopic pregnancies in the late stages of pregnancy are uncommon, and reports on their complications are scarce. We present the case of a woman who had a tubal ectopic pregnancy at around 34 weeks and developed severe pre-eclampsia complications. CASE: A 27-year-old woman presented to our hospital several times with vomiting and convulsions. A physical exam revealed hypertension, scattered ecchymosis, and a large abdominal mass. A computed tomography (CT) scan performed in an emergency revealed an empty uterus, a stillbirth baby in the abdominal cavity, and a crescent-shaped placenta. Blood tests revealed that the patient had a low platelet count and clotting dysfunction. Laparotomy confirmed advanced right fallopian tube pregnancy without rupture, and salpingectomy was performed. Pathological examination revealed a significantly thickened tubal wall, adhesion of the placenta, and poor placental perfusion. CONCLUSION: The unusually thickened muscular layer of the tube may be one of the reasons for tubal pregnancy progressing to an advanced stage. Placenta adhesion and the special site to which it is attached reduce the risk of rupture. The detection of a crescent-shaped placenta on imaging may aid in the accurate diagnosis, distinguishing between abdominal and tubal pregnancy. Women with advanced ectopic pregnancy are more likely to develop pre-eclampsia and have poorer maternal-fetal outcomes. These negative outcomes may be influenced by abnormal artery remodeling, villous dysplasia, and placental infarction. BioMed Central 2023-03-04 /pmc/articles/PMC9985250/ /pubmed/36870956 http://dx.doi.org/10.1186/s12884-023-05469-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Liu, Yang Xu, Xiaoping Liu, Qian Luo, Xiaolan Cai, Bin He, Jingyuan Liu, Ruiqian Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re |
title | Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re |
title_full | Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re |
title_fullStr | Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re |
title_full_unstemmed | Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re |
title_short | Advanced tubal pregnancy at 34 weeks with eclampsia and HELLP syndrome: a case report and literature re |
title_sort | advanced tubal pregnancy at 34 weeks with eclampsia and hellp syndrome: a case report and literature re |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9985250/ https://www.ncbi.nlm.nih.gov/pubmed/36870956 http://dx.doi.org/10.1186/s12884-023-05469-w |
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