Fimbrial miscarriage in tubal ectopic pregnancy
Non-specific lower abdominal pain, with missed periods since 3 months. Urinary pregnancy test was negative.
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A vascular heterogenous soft tissue seen adjacent to left ovary, with fluid with internal echoes in pelvis. A simple cyst noted in right ovary.
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Serum B-hCG was advised, and tubal mass lesion with possibility of ectopic pregnancy was considered. However, if B-hCG is inconclusive, patient was also advised to get MRI pelvis to know the nature of mass. B-hCG was 787, and ectopic pregnancy was considered the provisional diagnosis.
Laparoscopy showed it to be a left tubal ectopic pregnancy with fimbrial miscarriage as suggested by hemoperitoneum and products of conception in pelvis. Tube showed serosal inflammation, however not ruptured yet. Histopathology confirmed it as tubal ectopic pregnancy.