Ectopic pregnancy
Pregnancy is a delightful phase for many but at times, it may go wrong. Normally, pregnancy should occur in the cavity of the uterus, but if it occurs outside it, it can be quite problematic. Severe lower abdominal pain, vaginal bleeding, and fainting can sometimes signal an ectopic pregnancy. It can even lead to death if not identified and treated fast.
If a patient presents with severe abdominal pain and internal bleeding, it can cause a fall in blood pressure. Diagnosis can be made with transvaginal ultrasound and serum beta HCG. An ectopic pregnancy may be managed conservatively, medically or surgically.
We present the case of a 33 yr lady who delivered a baby girl one year ago by cesarean section. She came to the emergency room of Fortis hospital with missed periods and pain in her lower abdomen. Her pulse was 90/min and BP 100/60mmHg. Her Serum beta HCG was 7906 mIU/ml. The ultrasound revealed ectopic pregnancy in the left fallopian tube with a live 6weeks 2days embryo and minimal free fluid.
She was managed by laparoscopic surgery for ectopic pregnancy. A 1cm incision was made through her umbilicus, after which a laparoscope was inserted. Ectopic pregnancy with around 100cc blood in the abdominal cavity was visualized. The damaged left tube was then removed by laparoscopic salpingectomy and sent for histopathological examination. The right fallopian tube on examination was found healthy. The patient was pain-free the next day and was made to walk, allowed food and was discharged.
Laparoscopic management of ectopic pregnancy is not only extremely safe but also a pain-free procedure. In addition, it is very cosmetic with minimum scarring and is the preferred choice in cases which are unfit for medical management.
For further details, contact Dr Neha Gupta. She is a top gynecologist in NOIDA. She is a Senior Consultant in Obstetrics and Gynecology, Department in Fortis Hospital., NOIDA. She is also the Director of The Gyne Clinic, at sector 29 Noida. You may contact her at 8800606562, or mail at drnehagupta.digital@gmail.com.