A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding

Ectopic pregnancy resulting in perforation of the rectum and rectal bleeding is clinically rare. We report an extremely rare case of chronic ectopic pregnancy with decreasing low levels of serum β-HCG resulting in rectal bleeding. A 31-year-old woman, gravida 3, para 3, with moderate abdominal pain...

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Main Authors: Nina Vukas Radulovic, Maria Bullarbo, Erling Ekerhovd
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2017/5974590
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author Nina Vukas Radulovic
Maria Bullarbo
Erling Ekerhovd
author_facet Nina Vukas Radulovic
Maria Bullarbo
Erling Ekerhovd
author_sort Nina Vukas Radulovic
collection DOAJ
description Ectopic pregnancy resulting in perforation of the rectum and rectal bleeding is clinically rare. We report an extremely rare case of chronic ectopic pregnancy with decreasing low levels of serum β-HCG resulting in rectal bleeding. A 31-year-old woman, gravida 3, para 3, with moderate abdominal pain and rectal bleeding was diagnosed with a tubal pregnancy. The tube was adherent to the rectum. Following salpingo-oophorectomy, the perforation of the rectum was sutured. Biopsies from the rectum as well as the tube confirmed chronic ectopic pregnancy. This case illustrates that diagnosing ectopic pregnancy is sometimes extremely challenging and it underlines the importance of follow-up consultations when the final diagnosis has not yet been reached.
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-30cc1bd7653f48b697d56a5c3089e7492025-02-03T06:44:21ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/59745905974590A Case of Chronic Ectopic Pregnancy Manifested by Rectal BleedingNina Vukas Radulovic0Maria Bullarbo1Erling Ekerhovd2Department of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, SwedenDepartment of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, SwedenDepartment of Obstetrics and Gynecology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Göteborg, SwedenEctopic pregnancy resulting in perforation of the rectum and rectal bleeding is clinically rare. We report an extremely rare case of chronic ectopic pregnancy with decreasing low levels of serum β-HCG resulting in rectal bleeding. A 31-year-old woman, gravida 3, para 3, with moderate abdominal pain and rectal bleeding was diagnosed with a tubal pregnancy. The tube was adherent to the rectum. Following salpingo-oophorectomy, the perforation of the rectum was sutured. Biopsies from the rectum as well as the tube confirmed chronic ectopic pregnancy. This case illustrates that diagnosing ectopic pregnancy is sometimes extremely challenging and it underlines the importance of follow-up consultations when the final diagnosis has not yet been reached.http://dx.doi.org/10.1155/2017/5974590
spellingShingle Nina Vukas Radulovic
Maria Bullarbo
Erling Ekerhovd
A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding
Case Reports in Obstetrics and Gynecology
title A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding
title_full A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding
title_fullStr A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding
title_full_unstemmed A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding
title_short A Case of Chronic Ectopic Pregnancy Manifested by Rectal Bleeding
title_sort case of chronic ectopic pregnancy manifested by rectal bleeding
url http://dx.doi.org/10.1155/2017/5974590
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