Abulgasem Etraim, Hanan Eljabu, I. Elfortia, A. Andisha
{"title":"Delayed Diagnosis and Managementof Second Trimester Cervical EctopicPregnancy - Case Report","authors":"Abulgasem Etraim, Hanan Eljabu, I. Elfortia, A. Andisha","doi":"10.36648/1791-809X.15.1.785","DOIUrl":null,"url":null,"abstract":"A second trimester cervical ectopic pregnancy is a rare kind of ectopic pregnancy and is associated with a high maternal mortality rate. Early diagnosis and management of an ectopic pregnancy is considered as a principal factor to decrease the maternal mortality rate as well as to preserve the fertility of the patient. A 36 year old patient G1P0, 24 weeks with an attack of per-vaginal bleeding and abdominal pain, was diagnosed as a case of an invetable abortion. After termination of the pregnancy, intractable and uncontrolled bleeding was noticed, so a decision of lapratomy was taken and a diagnosis of cervical ectopic pregnancy was confirmed and managed with a total abdominal hysterectomy. It is recommended that staff in the obstetric and gynaecology departments should have training in the use of technology (Ultra-Sound Scan) and its application in order to eliminate possible complications.","PeriodicalId":12868,"journal":{"name":"Health science journal","volume":"138 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health science journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36648/1791-809X.15.1.785","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
A second trimester cervical ectopic pregnancy is a rare kind of ectopic pregnancy and is associated with a high maternal mortality rate. Early diagnosis and management of an ectopic pregnancy is considered as a principal factor to decrease the maternal mortality rate as well as to preserve the fertility of the patient. A 36 year old patient G1P0, 24 weeks with an attack of per-vaginal bleeding and abdominal pain, was diagnosed as a case of an invetable abortion. After termination of the pregnancy, intractable and uncontrolled bleeding was noticed, so a decision of lapratomy was taken and a diagnosis of cervical ectopic pregnancy was confirmed and managed with a total abdominal hysterectomy. It is recommended that staff in the obstetric and gynaecology departments should have training in the use of technology (Ultra-Sound Scan) and its application in order to eliminate possible complications.