Open AccessManual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy
Author(s) -
Chenyu Wang,
HerYoung Su,
Dah-Ching Ding,
Kwei-Shuai Hwang
Publication year - 2016
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 12
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.192842
Subject(s) - hemoperitoneum , ectopic pregnancy , hemostasis , medicine , rectum , surgery , laparoscopy , laparoscopic surgery , pregnancy , gestational sac , obstetrics , genetics , biology
Abdominal ectopic pregnancy is rare among all ectopic pregnancies and only few cases were treated with laparoscopic surgery. The most challenging management is adequate hemostasis after the removal of gestational material. We present a case of abdominal ectopic pregnancy with massive hemoperitoneum who was treated with laparoscopy and manual hemostasis during the surgery. After the removal of gestational material, persistent bleeding from the rough surface of rectal serosa was observed. Thermal coagulation was dilemmatic due to proximity to the rectum. Then, we used manual compression with one index finger in the rectum combined with gauze compression by laparoscopic instrument. The hemostasis was achieved successfully