A RARE CASE OF HETEROTOPIC PREGNANCY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 40
Abstract
PRESENTATION OF THE CASE Patient is a 30 years old female, primigravida at 7 weeks 1 day of gestation by last menstrual period, came to Out Patient Department with complaints of severe lower abdominal pain since 2 days, more on January 3rd 2018 morning, it was associated with 1 episode of vomiting and nausea for 1 day. She denied any white discharge per vaginum, urinary symptoms, fever, chills, dizziness, palpitations or any other symptoms. She did not have any past history of abdominal surgery, abortion, pelvic inflammatory disease, use of any contraceptives. Ultrasonogram done on 2.1.2018 revealed single live intrauterine pregnancy at 7 weeks 1 day with significant free fluid in both flanks, pelvis and Pouch of Douglas. Patient had conceived with assisted reproductive technique; urine pregnancy was done at 5 weeks of gestation in consistency with her last menstrual period. Upon presentation to Out Patient Department, patient was noted to be pale, pulse rate was 94 beats per minute, blood pressure was 100/70 mmHg and her abdomen was rigid with diffuse tenderness. On vaginal exam, there was mild cervical motion tenderness, fornices were free, cervical os closed. There were no pertinent significant physical findings. The patient’s blood group was A+ve, beta HCG value of 16,980 mIU/ml with correlates with a gestation of 6 to 8 weeks. The patient’s initial haemoglobin was 9g/dl. Pelvic ultrasound – 1) Revealed gravid uterus with single intrauterine gestation with CRL- 7.0mm corresponds to 6wks + 5 days. 2) Gross particulate ascites, to rule out viral cause. Ultrasonography guided transabdominal aspiration was done and revealed frank blood and aspirate was sent for cytological analysis.
Authors and Affiliations
Geetha K, Arpita Deb
Keywords
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- EP ID EP575621
- DOI 10.18410/jebmh/2018/587
- Views 97
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