Clinical Medicine Insights Reproductive Health A Rare Case of Chronic Ectopic Pregnancy Presenting as Large

ABSTR ACT: Ectopic pregnancy is defined as implantation and subsequent development of an embryo outside the uterine lining. It has wide range of pre-sentation from acute hemoperitoneum to chronic ectopic pregnancy. This is an unusual case of chronic ectopic pregnancy with large hematosalpinx without classical symptoms. A 22-year-old South Indian woman reported to the outpatient clinic with irregular spotting for a duration of 2 months which was not associated with pain. There was no preceding amenorrhea and previous menstrual cycles were regular. Clinically, the patient was hemodynamically stable but severely anemic. The abdomen was soft on palpation, cervical movements were not tender, and human chorionic gonadotropin was absent in the urine. Ultrasound revealed a complex adnexal mass. Magnetic resonance imaging (MRI) revealed a large hematosalpinx. Laparoscopic left salpingectomy was conducted and histopathology confirmed ectopic pregnancy. Ectopic pregnancy presents diagnostic dilemmas in the absence of classical symptoms. MRI and laparoscopy are important tools in such a diagnostic dilemma. KEY WORDS: chronic ectopic, hematosalpinx, laparoscopy CITATION: nacharaju et al. a Rare Case of Chronic ectopic pregnancy presenting as large hematosalpinx. Clinical Medicine Insights Reproductive Health 2014:8 1–4 doi:10.4137/CMRh.s13110. TYPE: Case Report FUNDING: authors disclose no funding sources. COMPETING INTERESTS: Authors disclose no potential conflicts of interest.