Complete tubal abortion which didn't require salpingec

Abstract

Tubal abortion is characterized by the extrusion of the fetus into abdominal (peritoneal) cavity. It can either be a complete extrusion or incomplete with residual tissue remaining in the fallopian tube. It is a type of ectopic pregnancy but it is difficult to determine the exact incidence of tubal pregnancies. Identifying cases of tubal abortions is crucial for individualized care since it can lead to a more conservative treatment approach. The diagnosis should be based on ultrasound imaging, ꞵ-hCG levels and visual conformation during exploratory surgery, either open or laparoscopic. The article describes the case of a 30 years old patient who presented with lower abdominal pain and was admitted for a suspected ectopic pregnancy. The ultrasound imaging showed a mass resembling a tubal pregnancy next to the uterus with ꞵ-hCG levels of 111.8 U/I. During laparoscopic surgery a tubal abortion was detected in the pouch of Douglas (Rectouterine pouch). This finding led us to preserve both fallopian tubes. Histopathology confirmed our clinical findings. A conservative approach can be sufficient in case of tubal abortions, which can lead to preserved fertility and tubal functions.