Ectopic Pregnancy in Non-Adnexal Abdominal Cavity: Is it an Acute Abdomen?

Authors

  • Morelos Adolfo García Sánchez Colonic and Rectal Surgeon and General Surgeon Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City, National Autonomous University of Mexico, México City
  • Mireya De La Fuente González General Surgeon, Surgical Department at “Dr. Gaudencio González Garza” General Hospital Specialized Medical Unit “La Raza”, National Medical Center, Mexican Social Security Institute National Autonomous University of Mexico, México City, México
  • Ramón Armando Sánchez Tamayo Internist Cardiology and Hemodynamist Internal Medicine Service Naucalpan General Hospital ISEM. National Autonomous University of Mexico, México City, México
  • María Isabel Estrada Rodríguez Podiatrist Pediatrician Department. Regional General Hospital No. 251, Metepec. Mexican Social Security Institute. National Autonomous University of Mexico México State, México
  • Mara Luz Terán Estrella General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City National Autonomous University of Mexico, México City, México
  • Yamileth Jiménez Bonola General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City National Autonomous University of Mexico, México City, México
  • Mauricio Israel Flores Pazos General Surgeon, Surgical Department at “Dr. Rubén Leñero” General Hospital Secretary of Health of Mexico City National Autonomous University of Mexico, México City, México

DOI:

https://doi.org/10.14738/jbemi.94.12863

Keywords:

Pregnancy. Ectopic. Ultrasound. Abdominal ectopic pregnancy.

Abstract

Ectopic pregnancy is a rare condition defined as a pregnancy where the oocyte implants anywhere outside the endometrial tissue of the uterus, but it is even more remotely rare, the ectopic pregnancy in non-adnexal abdominal cavity. The objective is to report a case and analysis of the literature. 27-year-old female patient, who comes to the emergency department. No history of importance. Emergency surgery was performed due to clinical data of acute abdomen and systemic inflammatory response, in the exploratory laparotomy; a partial salpingectomy and a right oophorectomy, are performed tumour and/or gestational sac is resected. The clinical picture does not correspond in most cases to the diagnosis, so ultrasound is the gold standard for it. The treatment will depend on the special characteristics of each case and the criteria or expertise of the surgeon, as well as the health infrastructure installed. The driving lines are diverse and it´s prognosis is unexpected. The imperative to have a treatment judgment, as urgent or scheduled, type of surgical approach, adjuvant or exclusive therapy with methotrexate in conservative management; or failing that, only close surveillance for full-term pregnancy. Concluding in a prognosis that allows strategically, decimating the morbidity and avoiding the mortality of the patient.

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Published

2022-08-23

How to Cite

Sánchez, M. A. G., González, M. D. L. F., Tamayo, R. A. S., Rodríguez, M. I. E., Estrella, M. L. T., Bonola, Y. J., & Pazos, M. I. F. (2022). Ectopic Pregnancy in Non-Adnexal Abdominal Cavity: Is it an Acute Abdomen?. British Journal of Healthcare and Medical Research, 9(4), 208–214. https://doi.org/10.14738/jbemi.94.12863

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