Ruptured ectopic pregnancy with contralateral adnexal torsion after spontaneous conception
Received 8 August 2007; received in revised form 14 January 2008; accepted 14 January 2008. published online 17 March 2008.
Objective
To describe a case of ruptured ectopic pregnancy and contralateral adnexal torsion after spontaneous conception.
Design
Case report.
Setting
Tertiary university medical center.
Patient(s)
A 23-year-old multiparous female with severe bilateral pelvic pain and a positive pregnancy test.
Intervention(s)
Operative laparoscopy with detorsion of left adnexa, drainage of left ovarian hemorrhagic corpus luteum cyst, right salpingectomy, and dilation and curettage.
Main Outcome Measure(s)
Laparoscopy revealed a 5 cm hemorrhagic corpus luteum cyst of the left ovary, torsion of the left ovary and fallopian tube, and a ruptured right ampullary ectopic pregnancy.
Result(s)
Normal perfusion of left ovary and fallopian tube after detorsion, resolution of left ovarian hemorrhagic corpus luteum cyst, patent left fallopian tube with chromopertubation, and successful removal of ectopic pregnancy.
Conclusion(s)
This is a unique case of adnexal torsion and contralateral ectopic pregnancy occurring after spontaneous conception.
The Center for Advanced Reproductive Services, Division of Reproductive Endocrinology and Infertility, University of Connecticut Health Center, Farmington, Connecticut
Reprint requests: Andrea J. DiLuigi, M.D., The Center for Advanced Reproductive Services, University of Connecticut Health Center, 263 Farmington Avenue, Dowling South Building, Farmington, CT 06030-6224 (FAX: 1-860-679-3639).
ABSTRACT