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KMID : 0361820120310030175
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Journal of the Korean Society of Medical Ultrasound
2012 Volume.31 No. 3 p.175 ~ p.177
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Ruptured Heterotopic Tubal Pregnancy for a Patient with a History of Segmental Salpingectomy from Ectopic Pregnancy: A Case Report
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Nam Kyung-Bum
Namkung Sook
Hong Myong-Son
Kim Heung-Cheol
Cho Yong
Choi Young-Hee
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Abstract
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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.
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KEYWORD
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Heterotopic pregnancy, Ectopic pregnancy, Corpus luteum cyst, Hemoperitoneum, Ultrasound
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