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Case
Case
I present r O.A. a 27year old applicant with secondary education, P0+2 who lives at
# 31 rumudede street rumigbo Port Harcourt.
She is a Christian of the Pentecostal denomination, Ikwere by tribe.
Her last menstrual period was 14th Aug. 2006; her gestational age at presentation
was 12wks.
She presented at the Accident and emergency with:
A 4 day history of bleeding per vagunam
And 2 day history of abdominal pain.
She was apparently well until 4 days prior to presentation when she started spotting
per vaginam. This progressed to frank bleeding.
The bleeding was severe on the 2nd day with passage of thick blood clots but
however this gradually reduced to only spotting on the 3rd and 4th day
Abdominal pains started 2 days prior to presentation, localized at the left iliac fossa,
intermittent and sharp in nature. It does not radiate to any part of the body. It’s
relieved temporarily on squatting but aggravated by lifting heavy objects. There
was no previous trauma vomiting nausea. Her bowel habits had remained
unchanged. There were associated headache and dizziness.
She was the only wife of an Engr. Her father is a known hypertensive.
There is no family history o diabetic mellitus, tuberculosis sickle cell disease nor
Asthma.
She does not take Alcoholic beverages nor takes tobacco products in any form.
The review of her other systems was not contributory
On examination
She was a healthy looking young lady. She was not pale anicteric acyanosed
afebrile no dehydrated with no pedal edema.
Chest was clinically clear
Cardiovascularly her pulse rate was 68 beats / min
Her blood pressure was 100/60 mmHg
Her abdomen was flat and moved with respiration.
There was tenderness at the left iliac fossa.
There was no rebound tenderness.
Her liver and spleen were not palpable. Her kidneys were not balotable.
Her recovery from anaesthesia was uncomplicated. Her vital signs remained stable
2hrs after operation.
She was transferred back to the gynaecological ward.
The skin sutures were removed on the 7th post operation day.
She was counseled on the need for contraception and the nature of
the surgery she had.
She was discharged from the hospital on the 8th post operation day.
She was given a 2 week appointment to the gynaecological clinic but she was lost in
follow up.
In summary
I have presented Mrs. O.A. a 27year old applicant P0+2 who had an emergency
exploratory laparotomy and left total sdalphingectomy for an unruptured interstitial
ectopic pregnancy. She made full recovery and was discharged home on the 8 th post
operative day.