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Case Series
Tubal abortion case series: Important clinical findings found on diagnostic laparoscopy may preserve tubal function and future fertility
1 Ob/Gyn Faculty, Honor Health System, 19829 N 27th Ave, Phoenix, AZ 85027, USA
2 Ob/Gyn Faculty, Lincoln Hospital and Mental Health Center, 249 E 149th St., Bronx, NY 10451, USA
Address correspondence to:
Alexander Sabre
M.D., Honor Health System, 19829 N 27th Ave, Phoenix, AZ 85027,
USA
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Article ID: 100110Z08AS2022
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How to cite this article
Sabre A, Arul M. Tubal abortion case series: Important clinical findings found on diagnostic laparoscopy may preserve tubal function and future fertility. J Case Rep Images Obstet Gynecol 2022;8:100110Z08AS2022.ABSTRACT
Introduction: Tubal abortion is characterized by the extrusion of an ectopic pregnancy initially implanted in the fallopian tube through the fimbriated ostium into the peritoneal cavity. It may present as either complete or incomplete expulsion, may lead to severe bleeding, or present with less acute findings which nevertheless requires surgical evaluation. Recognition of a complete tubal abortion through surgical evaluation may be challenging but is essential because it allows conservative management which allow preservation of tubal function and fertility without disrupting tubal anatomy or function.
Case Series: We present a case series of surgical evaluation and management of tubal abortion, with the first case which demonstrated complete tubal abortion and subsequent implantation into the omentum which required surgical dissection. The second case demonstrates acute complete tubal abortion in an asymptomatic patient, who underwent diagnostic laparoscopy revealing the subsequent pathology.
Conclusion: This case series highlights other findings in literature, that conservative surgical management entailing evacuation of products of conception and blood clots to prevent chronic pain and further adhesion formation is sufficient management of complete tubal abortion. This approach ensures preservation of tubal anatomy and allows patients an opportunity for future fertility.
Keywords: Case series, Ectopic pregnancy, Tubal abortion
SUPPORTING INFORMATION
Acknowledgments
We wish to thank all the first line responders and healthcare workers who tirelessly fight for patients in the COVID-19 pandemic.
Author ContributionsAlexander Sabre - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Manonmani Arul - Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Alexander Sabre et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
