Ectopic pregnancy
Mrs A 25 years old primigravida presented with amenorrhoea of 15 weeks 3 days with complaints of vomiting for the past 5 days. On per abdomen examination a smooth, well defined mass around 18 weeks with side to side and downward motility was palpable. Fetal heart sound was located by Doppler in this mass. There was no bleeding on per speculum examination. Per vaginum examination revealed uterus to be of normal size, deviated to left side; with a right adnexal mass around 8cm by 6cm with positive cervical motion tenderness. Left fornix was clear. Ultrasonograhy revealed right sided live unruptured ectopic pregnancy of 13 weeks 3 days. Patient was haemodynamically stable. Routine investigations were done. Abo-Rh was B negative, Hb 12.4 gm/dl, HCV was found positive with HIV and HBsAg negative. Patient was taken for exploratory laparotomy and per operatively uterus was found to be normal size. A right sided unruptured tubal pregnancy of size 8 cm by 8cm with increased vascularity of the gestational sac . Right fimbrial end, left fallopian tube and bilateral ovaries were found to be normal. Right sided salpingectomy was perfomed and patient shifted back in stable condition
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