Case of Sudden Death Cause of Tubal Pregnancy Rupture
DOI:
https://doi.org/10.17986/blm.2007122641Keywords:
ectopic pregnancy, tubal rupture, bleeding, sudden death, autopsyAbstract
Ectopic pregnancy is the leading cause of pregnancy-related death during the first trimester. Tubal ovum implantation is called tubal pregnancy. Tubal pregnancy may cause sudden death because of rupture and bleeding into abdominal cavity. These kinds of sudden death are rare. Difficulties in diagnosis are frequent. Especially, ectopic pregnancy must be suggested at sudden death of young women. 22-years-old woman with abdominal pain, who went under a curettage 3-4 weeks ago, died on the way to the hospital. In autopsy, there was 2500 cc hemorrhage in abdominal cavity, uterin cavity was empty, great hemotama with rupture area in right tubal cavity was found. At the histopathologic examination of tubal mass specimens, chrorionic villi were seen in the coagulum and tubal pregnancy was determined. Clinic and autopsy findings were evaluated together and the importance of ectopic pregnancy on forensic medicine was discussed.
Key words: Ectopic pregnancy, tubal rupture, bleeding, sudden death, autopsy.
Downloads
References
Rondeau JA, Hibbert ML, Nelson KM. Combined tubal and cornual pregnancy in a patient without risk factors: A case report. J Reprod Med 1997;42:675-677.
Kumar V, Cotran RS, Robbins SL, editors. Robbins Basic Pathology. 7th ed. Philadelphia, London, Toronto: Saunders, 2003.
Atrash HK, MacKay HT, Hogue CJ. Ectopic pregnancy concurrent with induced abortion: Incidence and mortality. Am J Obstet Gynecol 1990;162:726-730. DOI: https://doi.org/10.1016/0002-9378(90)90995-J
Rodgerson JD, Heegaard WG, Plummer D. Emergency department right upper quadrant ultrasound is associated with a reduced time to diagnosis and treatment of ruptured ectopic pregnancies. Acad Emerg Med 2001;8:331-336. DOI: https://doi.org/10.1111/j.1553-2712.2001.tb02110.x
Nugent PJ. Ruptured ectopic pregnancy in a patient with a recent intrauterine abortion. Ann Emerg Med 1992;21:97-99. DOI: https://doi.org/10.1016/S0196-0644(05)82250-4
Robboy SJ, Anderson MC, Russell P. Pathology of the Female Reproductive Tract Londra: Churchill Livingstone, 2002:427-30.
Corpa JM. Ectopic pregnancy in animals and humans. Reproduction 2006;131:631-40. DOI: https://doi.org/10.1530/rep.1.00606
Chopra S, Suri V, Aggarual N. Rudimantery horn pregnancy: Prerupture diagnosis and management. Indian J Med Sei 2007;61(l):28-29. DOI: https://doi.org/10.4103/0019-5359.29595
Burnette RE Jr, Butler RC. Ruptured ectopic pregnancy after elective termination of intrauterine pregnancy discovered by use of ultrasonography in the emergency department. Acad Emerg Med 2000;7:830-33. DOI: https://doi.org/10.1111/j.1553-2712.2000.tb02281.x
James AE Jr, Fleischer AC, Sacks GA, Greeson T. Ectopic pregnancy: A malpractice paradigm. Radiology 1986;160:411-413. DOI: https://doi.org/10.1148/radiology.160.2.3523592
De Graaf FL, Demetroulis C. Bilateral tubal ectopic pregnancy: diagnostic pitfalls. Br J Clin Pract 1997;51:56-58. DOI: https://doi.org/10.1111/j.1742-1241.1997.tb09629.x
Hockberger RS. Ectopic pregnancy. Emerg Med Clin North Am 1987;5:481-93. DOI: https://doi.org/10.1016/S0733-8627(20)31054-3
Alsuleiman SA, Grimes EM. Ectopic pregnancy: A review of 147 cases. J Reprod Med 1982;27:101-6.
Rosai J. Rosai and Ackerman’s Surgical Pathology. 9th Ed. New-York: Mosby, 2004.
Clement IB, Young RH. Atlas of Gynecologic Surgical Pathology. Philadelphia: W.B.Saunders Company, 2000:245.
Roussos D, Panidis D, Matalliotakis I, Mavromati- dis G. Factors that may predispose to rupture of tubal ectopic pregnancy. Eur J Obstet Gynecol Reprod Biol 2000;89:15-17. DOI: https://doi.org/10.1016/S0301-2115(99)00188-8
Berlingieri P, Bogdanskiene G, Grudzinskas JG. Rupture of tubal pregnancy in the Vilnius population. Eur J Obstet Gynecol Reprod Biol 2007;131(l):85-8. (abstract) DOI: https://doi.org/10.1016/j.ejogrb.2006.03.004
Korkontzelos I, Antoniou N, Stefos T, Kyparos I, Lykoudis S. Ruptured heterotopic pregnancy with successful obstetrical outcome: A case report and review of the literature. Clin Exp Obstet Gynecol 2005;32(3):203-6. (abstract)
Spiff AI, Inimgba NM, Jamabo RS. Ruptured heterotopic pregnancy: A case report and brief review of the literature. Niger J Med 2005;14(3):315-6. (abstract)
Sanders RC. Legal problems related to obstetrical ultrasound. Ann N Y Acad Sei 1998;847:220-7. (abstract) DOI: https://doi.org/10.1111/j.1749-6632.1998.tb08943.x
Bird S. Failure to diagnose: Ectopic pregnancy. Aust Fam Physician 2005;34(3): 175-6.
Latchaw G, Takacs P, Gaitan L, Geren S, Burzawa J. Risk factors associated with the rupture of tubal ectopic pregnancy. Gynecol Obstet Invest 2005;60(3) : 177-80. DOI: https://doi.org/10.1159/000088032
Downloads
Published
Issue
Section
License
The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
