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Minimally invasive management of 14–16-week abdominal ectopic with hemoperitoneum: an emergency laparoscopic procedure

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Abstract Since the first laparoscopic cholecystectomy on a pregnant lady in 1991, a plethora of articles and case studies have been published addressing laparoscopy and their role in pregnancy. The Royal College of Obstetricians and Gynecologists Green-top Guidelines recommends laparo-scopic surgery as the preferred approach in early ectopic tubal pregnancies. Laparoscopic versus laparotomy management of abdominal ectopic is a traumatic experience both on physical and emotional levels. The case study was a 36-year-old grav-ida 2 para 0 patient, previously normal pregnant lady, inwhich the follow-up ultrasound revealed moderate hemoperitoneum at 14–16 weeks of gestation. Upon urgent diagnostic laparos-copy, massive hemoperitoneum was detected despite no clin-ical signs of hemodynamic instability. Uterus was found to be within the normal measurements consistent with the nonpreg-nant state. Multiple myomas were clearly seen in the uterine wall. A fetus of 14–16 weeks was detected attached to the colon during formal laparoscopic pelvic and abdominal explo-ration for ectopic pregnancy. Operative laparoscopy for ab-dominal ectopic in skillful hands can be considered a feasible management technique carrying all the advantages of a mini-mally invasive procedure

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Ketersediaan

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Informasi Detail

Judul Seri

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No. Panggil

Artikel

Penerbit

USA : Springer., 2015

Deskripsi Fisik

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Bahasa

English

ISBN/ISSN

DOI 10.1007/s10397-0

Klasifikasi

NONE

Tipe Isi

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Tipe Media

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Tipe Pembawa

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Edisi

Gynecol Surg (2015) 12:309–313

Subjek

Medicine
laparoscopic
Minimally invasive management
abdominal ectopic
hemoperitoneum

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