Case of post tubectomy tubal partial molar pregnancy
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2018, Vol 5, Issue 4
Abstract
A 34 year old lady reported to casualty OPD with complaints of pain abdomen of one days duration She gave HO irregular menstrual periods and had her last menstrual period one month back Obstetric history P2L2A2 MTP and abdominal tubectomy done 7 years back On per abdominal examination there was tenderness all over abdomen Patient was admitted with provisional diagnosis of UTI with APD Antibiotics and other supportive measures were started Relevant investigations were ordered forPatient was referred to Gynaecologist for CO pain lower abdomen and irregular menstrual periods On per abdominal examination done by Gynaecologist there was mild rigidity over right side of umbilical region Urine pregnancy test was weakly positive Ultrasound revealed mobile internal echoes in urinary bladder minimal fluid in endometrial cavity and Pouch of Douglas Serum Beta HCG was sentPatients general condition remained stable Review scan done on next day revealed features suggestive of right adnexal ectopic gestation with minimal fluid in pelvis It was decided to take her up for laparotomyAbdomen was opened by Pfannesteil incision Omentum was partially adherent to parietal peritoneum Blood clot with some tissue Products of conception was seen adjacent to fimbria of right fallopian tube Same removed along with right sided salpingooopherectomy and left sided tubectomy Beta hCG levels after surgery showed decreasing trend and remained normal when done 70 days after surgery Histopathology report of right fallopian tube along with some tissue fragments was suggestive of Partial hydatidiform moleKeywords Partial hydatidiform mole Beta HCG Molar ectopic pregnancy Post tubectomy tubal pregnancy
Authors and Affiliations
Veena Vidyasagar, Preethi E
Keywords
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- EP ID EP476010
- DOI 10.18231/2394-2754.2018.0128
- Views 128
- Downloads 0
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