Publication: Cervical Ectopic Pregnancy with Unsupervised Intake of Medications for Abortion: A Case Report
Date
2023
Authors
Rayamajhi, Amod
Rayamajhi, Anjana Karki
Adhikari, Arohi
Basnet, Prapti
Tiwari, Akhilesh
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 897 - 900
Publisher
Nepal Medical Association
Abstract
Abstract
Cervical ectopic pregnancy is the rarest form of ectopic pregnancy, where implantation occurs in the mucosa of the endocervical canal, below the internal os. Medical abortion is a safe and effective method of termination of early intrauterine pregnancies when carried out under the supervision of trained service providers. Unfortunately, unsupervised misuse of such methods can lead to grave morbidities, especially in ectopic pregnancies. We report a case of a 29-year-old female with cervical ectopic pregnancy, with a history of self-induced medical abortion. Her assumption that her pregnancy had been terminated caused a delay in seeking treatment, which led to complications during management. Ultrasonography revealed features suggestive of cervical ectopic pregnancy and evacuation of the fetus and placenta was done using curettage, during which she had uncontrolled severe vaginal bleeding leading to need of emergency hysterectomy.
Description
Amod Rayamajhi
Janak Medical and Research Center, Balaju, Kathmandu, Nepal
Anjana Karki Rayamajhi
Department of Obstetrics and Gynaecology, B&B Hospital, Gwarko, Lalitpur, Nepal
Arohi Adhikari
Department of Obstetrics and Gynaecology, B&B Hospital, Gwarko, Lalitpur, Nepal
Prapti Basnet
Himal Hospital, Gyaneshwor, Kathmandu, Nepal
Akhilesh Tiwari
Department of Radiology, B&B Hospital, Gwarko, Lalitpur, Nepal
Keywords
Identifier
https://doi.org/10.31729/jnma.8345