“Hemorrhagic heterotopic pregnancy in a setting of prior tubal ligation and re-anastomosis.”

Posted By Jason Esterle
“Hemorrhagic heterotopic pregnancy in a setting of prior tubal ligation and re-anastomosis.”

The case describes a patient with a pathologically proven, surgically treated 1st trimester hemorrhagic heterotopic pregnancy. Her significant past medical history included a remote tubal ligation followed by tubal re-anastomosis 6 years later. Ultrasound confirmed both intrauterine and ectopic pregnancies. Upon laparoscopy, an actively bleeding, ruptured right-sided tubal ectopic pregnancy was confirmed at the scarred site of tubal re-anastomosis and was subsequently removed.

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Comments
  • Jason Esterle 2014-10-12 01:13:58

    The color images are available and will be provided in the manuscript.



    Thanks,

    Jason

    Reply

  • Roland Talanow 2014-09-28 16:52:19

    Why were no color images done? That should have been - one of the diagnostic criteria of ectopic pregnancy.

    Reply

  • Jason Esterle 2014-09-28 11:55:06

    I forgot to add the US image of the IUP. It is now presented. No color images were taken.

    Reply

  • Tony 2014-09-27 15:25:07

    Why no color images shown? Where is the intrauterine pregnancy seen?

    Reply

  • Tony 2014-09-23 01:48:38

    Tubal pregnancy on the right? Which image? Should provide color images to show the ring of fire (ideally).

    You said ectopic and intrauterine pregnancies but don't see intrauterine pregancy images.

    Reply