Case Reports
Pregnancy of unknown location which was discovered to be an intra mural pregnancy at the previous uterine perforation site
Authors:
Mohamed Rishard ,
University of Colombo, LK
About Mohamed
Department of Obstetrics and Gynecology, Faculty of Medicine
University Teaching Unit, De Soysa Hospital for Women, Colombo
Minollie Silva,
De Soysa Hospital for Women, Colombo, LK
About Minollie
University Teaching Unit
Asanka Jayawardane
University of Colombo, LK
About Asanka
Department of Obstetrics and Gynecology, Faculty of Medicine
University Teaching Unit, De Soysa Hospital for Women, Colombo
Abstract
A 35-year-old obese (BMI 35) woman presented to the antenatal clinic with a positive pregnancy test at a period of amenorrhea of six weeks. She was initially managed according to the Pregnancy of Unknown Location (PUL) care pathway. However, she presented with throbbing abdominal pain and required an emergency laparoscopy which revealed an intramural pregnancy at the site of a previous uterine perforation. The ectopic site was successfully excised laparoscopically. A detailed history, good knowledge of various rare presentations and the skills to make tailor-made decisions when dealing with PUL are crucial to avoid complications. Caregivers evaluating patients presenting with PUL should be well equipped to handle challenging cases such as these.
How to Cite:
Rishard, M., Silva, M. and Jayawardane, A., 2022. Pregnancy of unknown location which was discovered to be an intra mural pregnancy at the previous uterine perforation site. Sri Lanka Journal of Obstetrics and Gynaecology, 44(3), pp.169–172. DOI: http://doi.org/10.4038/sljog.v44i3.8065
Published on
21 Dec 2022.
Peer Reviewed
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