J Korean Soc Ultrasound Med.
2012 Sep;31(3):175-177.
Ruptured Heterotopic Tubal Pregnancy for a Patient with a History of Segmental Salpingectomy from Ectopic Pregnancy: A Case Report
- Affiliations
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- 1Department of Radiology, Chuncheon Sacred Heart Hospital, Korea. nksook1004@hallym.or.kr
- 2Department of Obstetrics and Gynecology, Chuncheon Sacred Heart Hospital, Korea.
- 3Department of Pathology, Hangang Sacred Heart Hospital, Korea.
Abstract
- Heterotopic pregnancy refers to the simultaneous development of an intrauterine pregnancy and an extrauterine pregnancy. We experienced a case of a ruptured heterotopic pregnancy for a patient with a history of a right segmental salpingectomy from an ectopic pregnancy. The 30-year-old patient with amenorrhea for six weeks complained of lower abdominal pain with hypovolemic shock. Transabdominal ultrasonography showed diffuse hemoperitoneum with a structure similar to an ectatic tube or a deformed cyst with no echogenic double ring or peripheral hypervascularity in the right adnexa and an intrauterine gestational sac. We considered a ruptured corpus luteum cyst as an ultrasonographic finding and found a ruptured tubal mass in the right salpinx and hemoperitoneum through an emergency laparotomy. We performed a right salpingectomy, and the histopathologic report confirmed ectopic pregnancy.