Case Report

Unruptured Live Ectopic Pregnancy at 11 Weeks of Gestation

10.5152/imj.2016.21605

  • Hale Göksever Çelik
  • Ayşegül Bestel
  • Engin Çelik
  • Gökhan Yıldırım

Received Date: 16.03.2015 Accepted Date: 26.11.2015 IMJ 2016;17(3):110-112

Ectopic pregnancy is defined as the implantation of a fertilized ovum at a site other than the uterine endometrium. The fallopian tube is the most common site for ectopic implantation. Diagnosis is clinically based on a history of pelvic pain associated with amenorrhea and a positive pregnancy test result with or without slight vaginal bleeding. Ectopic pregnancies account for 10%–15% of all maternal deaths. The prevention of tubal rupture before its occurrence is extremely important. An early diagnosis can be made by performing a transvaginal ultrasound examination and measuring human chorionic gonadotropin levels. However, a definitive diagnosis is made after performing a surgery and microscopic examination of tissue specimens. The main treatment options for tubal ectopic pregnancies are surgery or systemic medical treatment with methotrexate. We present the case of a 26-year-old woman with unruptured 11 weeks of gestation with fetal heart beat-positive tubal ectopic pregnancy. We performed laparoscopic salpingectomy. A histopathological examination of the tissue specimens revealed tubal ectopic pregnancy.

Keywords: Ectopic pregnancy, tubal rupture, laparoscopy