Myomectomy during laparotomy for ruptured tubal pregnancy in a low-resource setting

Abstract

The traditional management of ruptured ectopic pregnancy has been limited to the removal of the gestational sac, securing hemostasis, and restoring hemodynamic stability with no room for the performance of other procedures such in myomectomy at the same setting. We present a case of a 37-year-old nulliparous woman who was referred for myomectomy on account of symptomatic uterine fibroids but was found to have coexisting ectopic pregnancy at presentation. She had successful total salpingectomy and myomectomy at the same laparotomy. This case demonstrated that myomectomy can be safely performed during the surgery for ruptured ectopic pregnancy in well-selected patients.

Keywords

• myomectomy
• ruptured tubal pregnancy
• salpingectomy