AN UNUSUAL PRESENTATION OF CHRONIC ECTOPIC PREGNANCY

CORRESPONDING AUTHOR:
Dr. K Geetha,
Nandhu Clinic, # 18/A,
Elaikara Street,
Karaikal – 609602.
E-mail: vemsrigeenan3@gmail.com

ABSTRACT: Implantation of the fertilized ovum outside the uterine cavity is called ectopic pregnancy. It is associated with adverse outcome if not treated earlier. The fate of ectopic pregnancy depends on many factors. Important among them being site and duration of ectopic pregnancy. The main serious outcome is rupture. If the ectopic pregnancy ruptures and the patient survives this catastrophe, the ectopic mass gets organized and presents as pelvic mass with pain. Treatment is removal of that mass which is very difficult because of inflammation and subsequent adhesions. Here we are presenting a case of gravida 4 with puerperal sterilisation done 1^1/2 years back came with the history of 40 days amenorrhea, pelvic pain and vaginal bleeding. USG revealed a left adnexal mass of about 5.7 x 4.4 x 2.8 cms. Laparotomy was proceeded with and total salpingectomy was done. We have decided to report this case because cornual pregnancies cause disastrous effect on the patient. This case was managed successfully using modified Coffey’s suspension.

KEYWORDS: Chronic ectopic, total salpingectomy, modified Coffey’s suspension.