[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.
Kreiskrankenhaus St. Elisabeth Grevenbroich, Akadem, Lehrkrankenhaus der RWTH Aachen.
E
E
Harms
R
R
Stressig
K
K
Friol
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.