African Health Sciences
Makerere University Medical School
Vol. 20, No. 4, 2020, pp. 1895-1897
Bioline Code: hs20153
Full paper language: English
Document type: Case Report
Document available free of charge
African Health Sciences, Vol. 20, No. 4, 2020, pp. 1895-1897
© Copyright 2020 - Ngene NC et al.
Ectopic pregnancy in the ampulla of the fallopian tube at 16 gestational weeks: lessons from a case report|
Ngene, Nnabuike Chibuoke & Lunda, Ongombe
Background: It is uncommon to find ampullary tubal pregnancy in the second trimester.
Methods: A 35-year-old G4P3 at 16 gestational weeks presented with a day history of sudden severe lower abdominal
pain and no vaginal bleeding. The patient had a normal pulse of 82/minutes, haemoglobin concentration of 6.3 g/dl and
ultrasonography showed an empty uterus with an alive fetus in the right adnexa. She was provisionally diagnosed to have an
Results: The patient had an emergency laparotomy where 2.2 L of haemoperitoneum and a slow-leaking right ampullary
tubal pregnancy were found. Right total salpingectomy was performed and she had an uncomplicated post-operative follow-up. Histology of the lesion confirmed tubal pregnancy.
Conclusion: The growth of a pregnancy in the ampulla beyond the first trimester is possibly due to increased thickness and
or distensibility of the fallopian tube. A tubal pregnancy may present with a normal pulse despite significant haemorrhage.
Abdominal pain; ampullary tubal ectopic pregnancy; Bezold–Jarish-like reflex.