A case report: Intestinal Obstruction in laparatomy with diagnosis of ectopic pregnancy

Abstract

Approximately 1% of pregnancies are ectopic. The incidence of ectopic pregnancy (EP) appears to be increasing especially among young women. The diagnosis of EP is often based on clinical suspicion and usually the history and physical findings aren t typical. In this article we report a 42 year old female with abdominal pain, nausea and vomiting, 17 days retard of mense and vaginal bleeding. In paraclinic work up there was positive Grave Index test and -HCG titer was 18000 mu/ml and according to sonography findings a 7×8cm mixed echo mass in cul-de-sac was present and uterine cavity was empty. In Laparatomy there was partial obstruction in small intestine with adhesion bands from the site of salpingectomy related to a previous ectopic pregnancy. This condition (intestinal obstruction with complete abortion) is very rare in ectopic pregnancy differential diagnosis.