Case 240

Surgical Pathology Case


  24-year-old female, G3, P2-0-0-2, at 5-3/7 weeks pregnancy. She presented to the emergency room with a sudden onset of 10/10 sharp pain within her right lower abdomen. She was also orthostatic. Serum HCG 3427, and trans-virginal ultrasound did not reveal any evidence of intrauterine pregnancy. No mass was seen in bilateral adnexa.  A diagnostic laparoscopy was performed that showed enlargement of the right fallopian tube, indicating an ectopic pregnancy. Right fallopian tube, salpingectomy.



The specimen consists of one resected fallopian tube measuring 4.5 cm in length and 1.5 cm in greatest diameter. Serial sectioning through the fallopian tube reveals the lumen to be occluded by gray-tan and dark red material without perforation.


HE, 2

HE, 2


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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan