Journal of Korean Society of Ultrasound in Medicine 2012;31(3): 175-177.
Ruptured Heterotopic Tubal Pregnancy for a Patient with a History of Segmental Salpingectomy from Ectopic Pregnancy: A Case Report.
Kyung Bum Nam, Sook Namkung, Myung Sun Hong, Heung Cheol Kim, Young Cho, Young Hee Choi
1Department of Radiology, Chuncheon Sacred Heart Hospital, Korea. nksook1004@hallym.or.kr
2Department of Obstetrics and Gynecology, Chuncheon Sacred Heart Hospital, Korea.
3Department of Pathology, Hangang Sacred Heart Hospital, Korea.
  Published online: September 26, 2012.
ABSTRACT
Heterotopic pregnancy refers to the simultaneous development of an intrauterine pregnancy and an extrauterine pregnancy. We experienced a case of a ruptured heterotopic pregnancy for a patient with a history of a right segmental salpingectomy from an ectopic pregnancy. The 30-year-old patient with amenorrhea for six weeks complained of lower abdominal pain with hypovolemic shock. Transabdominal ultrasonography showed diffuse hemoperitoneum with a structure similar to an ectatic tube or a deformed cyst with no echogenic double ring or peripheral hypervascularity in the right adnexa and an intrauterine gestational sac. We considered a ruptured corpus luteum cyst as an ultrasonographic finding and found a ruptured tubal mass in the right salpinx and hemoperitoneum through an emergency laparotomy. We performed a right salpingectomy, and the histopathologic report confirmed ectopic pregnancy.
Keywords: Heterotopic pregnancy; Ectopic pregnancy; Corpus luteum cyst; Hemoperitoneum; Ultrasound
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