Intrauterine abortion combined with tubal pregnancy rupture

obstetrics and gynecology paper I

Intrauterine abortion combined with tubal pregnancy rupture 

A Rare Case Report


Simultaneous termination of both intrauterine and extrauterine pregnancies is an exceedingly rare clinical phenomenon. We report a compelling case encountered during a house call.

Patient Background

The patient, a 23-year-old woman, had been married for two years without giving birth. She had regular menstrual cycles but experienced a 52-day amenorrhea accompanied by early pregnancy symptoms such as nausea, food aversions, and drowsiness. On April 22, 1979, she suddenly experienced vaginal bleeding and lower abdominal pain, followed by the expulsion of embryonic tissue. A clinical examination confirmed a complete abortion. Subsequent cessation of vaginal bleeding and alleviation of abdominal pain left her in generally good health.

Clinical Presentation and Diagnosis

Nine days post-abortion, the patient attempted sexual intercourse and immediately experienced right lower abdominal pain, dizziness, and sweating. Initially misdiagnosed at a local hospital as either post-abortion infection or intestinal parasitism, she was given tetracycline and analgesics and sent home. The following morning, she experienced severe abdominal pain and symptoms of shock. Upon emergency admission to the commune hospital, her blood pressure was recorded at 60/30 mmHg, with a pulse rate of 112/min. She displayed pale skin, excessive sweating, and agitation, with generalized abdominal tenderness—particularly in the right lower quadrant.

An emergency diagnostic paracentesis yielded non-clotting, dark-red blood, confirming a diagnosis of ruptured ectopic pregnancy.

Treatment and Outcome

Immediate fluid resuscitation and a 400 ml blood transfusion were administered, followed by surgical intervention under local anesthesia. Approximately 2000 ml of intraperitoneal blood and clots were evacuated. The ampullary region of the right fallopian tube was found to be engorged, resembling the size of a duck egg, and had ruptured. A 3 cm-long male fetus was found free-floating in the abdominal cavity. A right salpingectomy was performed, revealing internal placental tissue. The contralateral fallopian tube and ovary appeared normal, and the uterus was slightly enlarged but soft, with no adhesions. An additional 350 ml of retrieved abdominal blood was reinfused without complications. The patient recovered fully and was discharged 10 days post-operation.


This case underscores the critical nature of thorough evaluations in patients who present with abdominal pain post-abortion, as rare conditions like a simultaneous intrauterine abortion and ruptured ectopic pregnancy could be easily overlooked or misdiagnosed. Prompt diagnosis and surgical intervention were vital in this case, leading to a successful outcome.

This report was originally published in Nanling Medicine,1979;1:21,
05/14/1979, Nanling County Hospital, Pan Yaogui & Li Mingjie





立委博士,问问副总裁,聚焦大模型及其应用。Netbase前首席科学家10年,期间指挥研发了18种语言的理解和应用系统,鲁棒、线速,scale up to 社会媒体大数据,语义落地到舆情挖掘产品,成为美国NLP工业落地的领跑者。Cymfony前研发副总八年,曾荣获第一届问答系统第一名(TREC-8 QA Track),并赢得17个小企业创新研究的信息抽取项目(PI for 17 SBIRs)。


您的电子邮箱地址不会被公开。 必填项已用 * 标注