Ectopic pregnancy on the pelvic wall

From: Ricardo Savaris (savaris@orion.ufrgs.br)
Mon Apr 6 13:50:54 1998


OK folks,

I was leaving my on call, and my collegue told me about his case on other hospital with better facilities than mine. So I started to wander what I would do if: It is sunday night, no laboratory, no Gelfoam, no cautery, no blood bank, and a patient cames in hypovolemic shock with LMP 8 weeks ago.

I do a laparotomy and find an ectopic pregnancy with infiltration of the trophoblast on the pelvic wall, over the great vassels (hypogastric) and it is bleeding. What would I do?

(At the moment, I am considering to change my job...)

Thanks

--
Ricardo Savaris, M.D., MSc, TEGO
Porto Alegre, Brazil
savaris@orion.ufrgs.br




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