Rozina Mustafa.
An ovarian ectopic Pregnancy.
J Surg Pak Jan ;8(2):32-3.

A 25 years old lady, married for the last 5 years was gravida 3, para 1, abortion 1. she was admitted with gestational amenorrhoea of 6 weeks and lower abdominal pain for 3 days. Initially pain was dull in character, but after coitus on the same day of admission, it increased in intensity, associated with shoulder tip pain. On general physical examination, she was pale looking. Her pulse was 104/min, respiratory rate 22/min, blood pressure 90/60 mmHg and temp. 98F. On abdominal examination, guarding and rigidity was present in whole of abdomen more in left iliac fossa. Vaginal examination was not performed. On admission, her b-HCG was 4985 miu/ml, and ultrasound showed empty uterus with fluid in pelvis including pouch of Douglas and hepatorenal angle. Patient was managed by laparotomy. Approximately 500-700cc of clotted and fresh blood was removed. Operative findings showed normal uterus, both fallopian tubes and right ovary. Left ovary was ruptured at its superior surface.

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