A Rare Case of Chronic Ectopic Pregnancy Presenting as Large
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Introduction
Ectopic pregnancy is the presence of gestational sac outside of the endometrial cavity. Ectopic pregnancy turns chronic when there are multiple small hemorrhages into the peritoneal cavity with the formation of pelvic hematocele. Chronic ectopic pregnancy has relatively less acute symptoms.1 It rarely presents as large hematosalpinx2 without classical symptoms as in our case as we did not have any symptoms.

Case Report
A 22-year-old South Indian woman reported irregular bleeding for 2 months, associated with discomfort in the lower abdomen. There was no history of preceding amenorrhea. She was primi para with one live child who was delivered by caesarean section 4 years prior. There were no menstrual irregularities in the past. There was no history suggestive of prior pelvic infection or endometriosis. She was a non-smoker. She was not using any contraceptive methods.

On examination, pallor was present. Pulse rate was 78 beats per minute and blood pressure was 130/80 mmHg. Abdomen was scaphoid and soft on palpation. There was no localized tenderness, no guarding or rigidity, and no palpable mass. Speculum examination revealed minimal bleeding through the external ostium uterus and a healthy vagina. Bimanual examination revealed a retroverted normal-sized uterus with fullness in the left fornix. Cervical movements were not tender......

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4007565/
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