Non-operative treatment of ruptured ectopic pregnancy.
Ruptured ectopic pregnancy often causes abdominal pain, vaginal bleeding and internal haemorrhage; it is a very serious condition and can be life-threatening. Patients with a ruptured ectopic pregnancy are normally treated by surgical intervention. We describe a case of a 20-year-old woman who presented with abdominal pain and vaginal bleeding. Urine human chorionic gonadotropin was positive and on examination she had localised tenderness of the abdomen. Transvaginal ultrasonography revealed a ruptured tubal pregnancy along with blood in the abdomen. The patient was closely monitored and treated conservatively, with a successful outcome. She recovered uneventfully. Our case shows that non-operative treatment of a ruptured ectopic pregnancy may be a possible non-invasive treatment option in highly selected patients.
Region Avannaa, Ilulissat Hospital, Ilulissat, Greenland.
Trine
T
Dalsgaard Jensen
Region Avannaa, Ilulissat Hospital, Ilulissat, Greenland.
Luit
L
Penninga
D000072700:Conservative Treatment; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011247:Pregnancy; D011274:Pregnancy, Tubal / Q000473:pathology / Q000628:therapy*; D012422:Rupture, Spontaneous / Q000628:therapy; D055815:Young Adult