Delayed Presentation of Ectopic Pregnancy on Top of Missed Miscarriage: Case Report

ABSTRACT

Background

To share a case of an unusual occurrence of an ectopic pregnancy that appeared 2 weeks after a miscarriage.

Case presentation

A lady in her 30s, whose intrauterine early pregnancy was verified by transvaginal ultrasound. The patient two-weeks later experienced severe lower abdominal pain, at which time we discovered a left tubal pregnancy with an empty uterus. The patient had a history of missed miscarriage and vaginal bleeding two weeks prior to the ultrasound assessment. The patient was hospitalized for a diagnostic laparoscopy and left salpingectomy.

Conclusion

The purpose of this case report is to draw attention to a rare situation in which clinicians in the early pregnancy unit and the gynecology team should not dismiss the patient’s clinical signs and should instead re-confirm the early pregnancy location by ultrasound if the patient presents with symptoms suggestive of acute pregnancy-related issues despite a previous diagnosis of an intrauterine early pregnancy.

KEYWORDS:

• Ectopic pregnancy
• pregnancy of unknown location
• heterotopic pregnancy
• missed miscarriage
• early pregnancy scans

Author contribution

* Mena Abdalla (The author) has done all related data related to this case report including:

Abstract.

Collecting data

Literature of review – manuscript writing

Case report and discussion.

Disclosure statement

No potential conflict of interest was reported by the author.

Data sharing

Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.

Informed consent

Written informed consent (Consent to Participate and Consent to Publish) was obtained from the patient. All photos on this article have been taken with the patient’s consent.

Informed consent

Written informed consent (Consent to Participate and Consent to Publish) was obtained from the patient. All photos in this article have been taken with the patient’s consent.

Additional information

Funding

The authors state that this work has not received any funding.