Location
Suwanee, GA
Start Date
6-5-2025 1:00 PM
End Date
6-5-2025 4:00 PM
Description
Introduction: Ectopic pregnancy occurs when a fertilized egg implants outside the uterine cavity, most commonly in the fallopian tube. This condition can lead to life-threatening complications if not promptly diagnosed and managed. This case report presents a 34-year-old woman with symptomatic right ectopic pregnancy, who presented with abdominal pain, vaginal bleeding, and signs of internal bleeding.
Objective: The objective of this case study is to illustrate the surgical management of a right ectopic pregnancy using a tissue-sparing hydro-dissection technique and its impact on preserving future fertility.
Methods: The patient presented with right lower quadrant pain, cervical motion tenderness, and an empty uterus on ultrasound. A 4 cm right adnexal mass and free fluid were identified, suggesting an ectopic pregnancy with potential internal bleeding. Emergency laparoscopy was performed, during which a linear incision was made on the right fallopian tube. Hydro-dissection was employed to minimize bleeding and tissue trauma, followed by removal of the ectopic tissue. The fallopian tube was preserved, and the abdomen was irrigated to remove blood.
Results: The patient recovered well postoperatively and had a negative pregnancy test one week after surgery. She was counseled about the risk of recurrent ectopic pregnancies. Within six months, the patient conceived an intrauterine pregnancy, successfully delivered a healthy child, followed by another healthy pregnancy two years later. The hydro-dissection technique played a key role in preserving the fallopian tube, enabling future fertility.
Conclusion: This case demonstrates the importance of timely surgical intervention in ectopic pregnancy to prevent life-threatening complications. The use of tissue-sparing techniques, such as hydro-dissection, can help preserve the fallopian tube and support future fertility, as evidenced by the patient’s subsequent successful pregnancies. Early diagnosis and appropriate management are critical in optimizing reproductive outcomes for women with ectopic pregnancies.
Embargo Period
5-29-2025
Included in
Management of ectopic pregnancy in a 34-year-old female
Suwanee, GA
Introduction: Ectopic pregnancy occurs when a fertilized egg implants outside the uterine cavity, most commonly in the fallopian tube. This condition can lead to life-threatening complications if not promptly diagnosed and managed. This case report presents a 34-year-old woman with symptomatic right ectopic pregnancy, who presented with abdominal pain, vaginal bleeding, and signs of internal bleeding.
Objective: The objective of this case study is to illustrate the surgical management of a right ectopic pregnancy using a tissue-sparing hydro-dissection technique and its impact on preserving future fertility.
Methods: The patient presented with right lower quadrant pain, cervical motion tenderness, and an empty uterus on ultrasound. A 4 cm right adnexal mass and free fluid were identified, suggesting an ectopic pregnancy with potential internal bleeding. Emergency laparoscopy was performed, during which a linear incision was made on the right fallopian tube. Hydro-dissection was employed to minimize bleeding and tissue trauma, followed by removal of the ectopic tissue. The fallopian tube was preserved, and the abdomen was irrigated to remove blood.
Results: The patient recovered well postoperatively and had a negative pregnancy test one week after surgery. She was counseled about the risk of recurrent ectopic pregnancies. Within six months, the patient conceived an intrauterine pregnancy, successfully delivered a healthy child, followed by another healthy pregnancy two years later. The hydro-dissection technique played a key role in preserving the fallopian tube, enabling future fertility.
Conclusion: This case demonstrates the importance of timely surgical intervention in ectopic pregnancy to prevent life-threatening complications. The use of tissue-sparing techniques, such as hydro-dissection, can help preserve the fallopian tube and support future fertility, as evidenced by the patient’s subsequent successful pregnancies. Early diagnosis and appropriate management are critical in optimizing reproductive outcomes for women with ectopic pregnancies.
Comments
Presented by Rehana Lakhani