[Unusual course of an advanced extra-uterine pregnancy].
We report about the course of an advanced ectopic pregnancy in case of uterine leiomyomata, which was diagnosed after surgery. A vaginal bleeding appeared in the first trimester. Vaginal ultrascan was missing in those early time of pregnancy. Finally prenatal diagnosis in a center of perinatal medicine led to a suspicious fetal morphology and gave the indication for medical abortion. The induction of abortion with Gemeprost remained without success. Meanwhile abdominal pain increased and a laparoscopic exploration was carried out and showed a big vital ectopic pregnancy. This indicated laparotomy. This case showed the difficulties in diagnosis of ectopic pregnancy in the second trimester and discusses possibilities of the therapeutic procedures.
Harms
E
E
Kreiskrankenhaus St. Elisabeth Grevenbroich, Akadem, Lehrkrankenhaus der RWTH Aachen.
Stressig
R
R
Friol
K
K
D000328:Adult; D004312:Douglas' Pouch / Q000473:pathology; D005260:Female; D005313:Fetal Death; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D018231:Leiomyomatosis / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D011262:Pregnancy Trimester, Second; D011269:Pregnancy, Abdominal / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D011296:Prenatal Diagnosis; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery
Ungewöhnlicher Verlauf einer fortgeschrittenen Extrauterin-Gravidität.