A case report: Intestinal Obstruction in laparatomy with diagnosis of ectopic pregnancy

Approximately 1% of pregnancies are ectopic. The incidence of ectopic pregnancy (EP) appears to
be increasing especially among young women. The diagnosis of EP is often based on clinical
suspicion and usually the history and physical findings aren t typical.
In this article we report a 42 year old female with abdominal pain, nausea and vomiting, 17 days
retard of mense and vaginal bleeding. In paraclinic work up there was positive Grave Index test
and -HCG titer was 18000 mu/ml and according to sonography findings a 7×8cm mixed echo mass
in cul-de-sac was present and uterine cavity was empty. In Laparatomy there was partial
obstruction in small intestine with adhesion bands from the site of salpingectomy related to a
previous ectopic pregnancy. This condition (intestinal obstruction with complete abortion) is very
rare in ectopic pregnancy differential diagnosis.