Challenges of Management of Ruptured Second Trimester Ovarian Pregnancy in Low-and Middle-Income Settings: A Case Report.
George Uchenna ElejeGerald Okanandu UdigweTobechi Kingsley NjokuChukwuemeka Chukwubuikem OkoroChukwudubem Chinagorom OnyejiakaEric Chukwudi IhekwoabaChinedu Onwuka NdukweOnyedika Promise AnaeduMichael Emeka ChiemekaChigozie Geoffrey OkaforOnyeka Chukwudalu EkwebeneConfidence Chinaza OfforOdili Aloysius OkoyePerpetua Chinedu OkolieDivinefavour Echezona MalachyChimdindu Ifunanya MaduagwuJane-Rita Ifeoma MmuotooEkeuda Uchenna NwankwoChimezuru Ogechi DuruEmeka Philip IgbodikeNnaedozie Paul ObiegbuJoy Chisom AgboNwabueze Chidozie OkekeOgonna Onyeka EzenwaforHenry Chinedu NnejiOgechi Odinakachukwu DimgbaJames Egwuatu OkonkwoPublished in: Clinical medicine insights. Case reports (2023)
Despite advances in imaging techniques, the diagnosis of ovarian ectopic gestation is still very difficult. When premenopausal women present with amenorrhea, generalized non-colicky abdominal pain and swelling in combination with ambiguous findings of pregnancy on ultrasound in the absence of trauma, differential diagnoses should include ruptured ovarian pregnancy. Obstetricians should maintain a high index of suspicion to forestall delayed diagnosis and the potential maternal morbidity and mortality. However, the need for high-index of suspicion should be for any ectopic, not just ovarian pregnancy.
Keyphrases
- pregnancy outcomes
- preterm birth
- pregnant women
- abdominal pain
- magnetic resonance imaging
- subarachnoid hemorrhage
- high resolution
- gestational age
- physical activity
- type diabetes
- mental health
- abdominal aortic aneurysm
- computed tomography
- brain injury
- photodynamic therapy
- body mass index
- skeletal muscle
- endovascular treatment
- human health