Answer for CoW 18 December 2016
RUPTURED TUBAL ECTOPIC PREGNANCY
Findings
Moderate free fluid noted in the peritoneal cavity Acute intraperitoneal hematoma extending from the pelvis in the left side superiorly upto the left hypochondriac region. Small thick walled cyst like lesion adjoining the left ovary – complex left adnexal cyst.
Discussion
The above features are suggestive of ruptured Tubal ectopic pregnancy with hemoperitoneum Urine beta hcg was found to be positive and emergency surgery confirmed the findings In a female with acute abdomen and with findings of hemoperitoneum , ruptured ectopic pregnancy must be a primary diagnosis in absence of trauma . The pelvis must be screened to look for related finding and laboratory tests for pregnancy must be mandatory.
Findings
Moderate free fluid noted in the peritoneal cavity Acute intraperitoneal hematoma extending from the pelvis in the left side superiorly upto the left hypochondriac region. Small thick walled cyst like lesion adjoining the left ovary – complex left adnexal cyst.
Discussion
The above features are suggestive of ruptured Tubal ectopic pregnancy with hemoperitoneum Urine beta hcg was found to be positive and emergency surgery confirmed the findings In a female with acute abdomen and with findings of hemoperitoneum , ruptured ectopic pregnancy must be a primary diagnosis in absence of trauma . The pelvis must be screened to look for related finding and laboratory tests for pregnancy must be mandatory.
Note:
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!
We do not discourage differential diagnosis. But all the differentials must satisfy the findings noted in the case.
If you feel you have answered rightly but cannot find your name in the above list, please call 09551942599.
Did you Know?
The order in which the names appear in this winner's list is based on the time of submission. The first person to send the correct answer gets his/her name on top of the list!