Ectopic pregnancy presenting with obturator nerve pain.
A 27 year old woman had a three day history of pain in the cutaneous distribution of the left obturator nerve before she developed the classical picture of ectopic pregnancy with lower abdominal pain and vaginal bleeding. A left tubal pregnancy was subsequently confirmed by laparoscopy. Referred pain along the obturator nerve has been reported in other pelvic conditions, but has not previously been reported as a manifestation of ectopic pregnancy. Ectopic pregnancy may present with a very wide range of signs and symptoms and should be excluded in females of child bearing age with unexplained symptoms including pain anywhere from the shoulder down to the knee.
Ali
H S
HS
Booth Hall Children's Hospital, Manchester, UK.
D000328:Adult; D003937:Diagnosis, Differential; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D009437:Neuralgia / Q000175:diagnosis / Q000209:etiology*; D009776:Obturator Nerve; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000150:complications / Q000175:diagnosis* / Q000601:surgery