Ruptured Interstitial Pregnancy on Right Fallopian Tube

Abstract

Ectopic pregnancy is the leading cause of mortality in early pregnancy, the incidence of ectopic pregnancy is estimated to be between 1-2%. The majority of these pregnancies are located in the fallopian tube. Rarely interstitial pregnancy implanted in the interstitial part of the fallopian tube. It is associated with higher mortality due to massive intra peritoneal haemorrhage. This data collected from the government general hospital, Rangaraya medical college. The incidence of interstitial pregnancies is 2-4% of all tubal pregnancies or 1 in 3000 to 5000 live births. This case presented to our labour room. She was a 33 years old lady G4P2L2A1 with 4 months amenorrhoea with severe pain abdomen and giddiness. General examination showed she is a conscious and coherent. Grossly pale with haemoglobin of 4 grams, blood pressure of 80/60mmHg. There was abdominal distension, tenderness and guarding. pervaginal examination showed tender cervical movements with fullness of pouch of douglas, exact size of uterus could not be made out. Case was diagnosed as ruptured ectopic gestation on right side. Ultra sound suggestive of ruptured ectopic pregnancy. Patient was taken for emergency laparotomy haemoperitonium of 2500ml noted fetus of 14 weeks with intact gestation sac seen in the peritoneal cavity, ruptured noted on the right cornual region, cornual resection and rent repair was done along with right Salpingo oophorectomy. Postoperative period uneventful.