PMC9838563_01
Visible intrauterine pregnancy with fetal pole (A), yolk sac (B), left adnexal cyst (C), and significant hemoperitoneum extending to the Morrison's pouch (D).
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Transabdominal ultrasound scanning was pertinent for significant hemoperitoneum to the level of Morrison's pouch, left adnexal cystic mass, and IUP with crown-to-rump length based gestational age of 7 weeks + 5 days (Figure 1).
Intraoperative finding (A) showing normal right fallopian tube (i), normal right ovary (ii), gravid uterus (iii), left ovarian cyst (iv), left tubal ectopic pregnancy (v), and ruptured fimbrial end with active bleeding (vi), and surgical specimen (B).
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The entire surgical specimen was subjected for histopathology (Figure 2).
Follow up scan a month later shows 11 weeks + 5 days intrauterine gestation (A) with positive fetal heart tone (B and C).
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Obstetric ultrasound scan on the 30th laparotomy day showed a viable IUP heralding the continuation of the pregnancy (Figure 3).
Granulosa lutein cells with abundant eosinophilic cytoplasm (A) and central vesicular nuclei (B). (H&E, AChi10, BChi40).
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The detailed description of the histopathology is presented below (Figures 4-6).
Prominent intramural edema involving the stroma of the plicae (A). Eosinophilic fibrin clot inside a thin-walled vein (B). (H&E, A and BChi10).
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The detailed description of the histopathology is presented below (Figures 4-6).
Mildly edematous chorionic villi of variable size and adjacent syncytiotrophoblastic giant cells as well as extravillous intermediate trophoblasts (A-C). Sheets of intermediate trophoblasts infiltrating the fallopian tube wall (D). (H&E, A, B, C and DChi10).
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The detailed description of the histopathology is presented below (Figures 4-6).