Abdominal ectopic pregnancy complicated with a large bowel injury: a case report

Journal of Medical Case Reports

Abraham Fessehaye¹  Biruck Gashawbeza¹  Mekdes Daba¹  Tsega Terefe²  Muhudin Arusi³ 

[1] Department of Obstetrics and Gynecology, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia;Department of Surgery, Saint Paul’s Hospital millennium Medical College, Addis Ababa, Ethiopia;St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia;

关键词: Abdominal ectopic pregnancy;    Bowel injury;    End-to-end anastomosis;   

DOI  :  10.1186/s13256-021-02713-9

来源: Springer

【 摘 要 】

BackgroundAbdominal pregnancy accounts for 0.6 to 4% of all ectopic pregnancies. Due to delays in diagnosis and difficulties in the management of abdominal pregnancy, the risk of mortality is significantly higher than for uncomplicated ectopic pregnancies.Case summaryA 23 years-old gravida-II, ectopic-I Ethiopian woman was initially managed as a case of missed second trimester abortion. Later on, abdominal ectopic pregnancy was diagnosed with ultrasound and she underwent a laparotomy. Though fetus and placenta was removed successfully without significant hemorrhage, there was inadvertent sigmoid colon injury.ConclusionIn the management of abdominal ectopic pregnancy, the possibility of bowel injury during entry to the abdominal cavity at laparotomy should always be considered and an experienced general surgeon should always be in attendance before opening the abdomen, to prevent it from happening.

【 授权许可】

CC BY