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 prese...

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Bibliographic Details
Published in:BMJ case reports 2016-06, Vol.2016, p.bcr2016215311
Main Authors: Dalsgaard Jensen, Trine, Penninga, Luit
Format: Article
Language:English
Subjects:
Abdomen
Abortion
Blood pressure
Body temperature
Case reports
Conservative Treatment
Diagnosis, Differential
Female
Gestational age
Gynecology
Hemoglobin
Humans
Menstruation
Miscarriage
Novel Treatment (New Drug/Intervention
Established Drug/Procedure in New Situation)
Other
Pain
Patients
Pregnancy
Pregnancy complications
Pregnancy, Tubal - pathology
Pregnancy, Tubal - therapy
Rupture, Spontaneous - therapy
Surgery
Ultrasonic imaging
USA/Canada
Uterus
Vagina
Vital signs
Young Adult
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Summary: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.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-215311