Scientific letters

A classic case suggestive of an unruptured ectopic pregnancy with unexpected finding of a unilateral dermoid cyst intraoperatively: A case report

Matthew A. Benedict, Anthonio O. Adefuye
South African Family Practice | Vol 62, No 1 : Part 4| a5164 | DOI: https://doi.org/10.4102/safp.v62i1.5164 | © 2020 Matthew A. Benedict, Anthonio O. Adefuye | This work is licensed under CC Attribution 4.0
Submitted: 11 June 2020 | Published: 09 December 2020

About the author(s)

Matthew A. Benedict, Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa
Anthonio O. Adefuye, Division of Health Sciences Education, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa

Abstract

Acute lower abdominal pain or pelvic pain is a common presenting complaint in women of reproductive age, which can be accounted for by numerous aetiologies. The presentation of lower abdominal pain with associated findings of an adnexal mass on transvaginal ultrasonography and positive beta-human chorionic gonadotropin (β-hCG) (serum and urine) in a sexually active woman of reproductive age is an ectopic pregnancy until proven otherwise. Here, we present a classic case suggestive of an unruptured ectopic pregnancy, with an unexpected finding of a unilateral dermoid cyst intraoperatively in a 33-year-old woman. Findings presented herein suggest that practitioners in our local setting should evaluate patients carefully, and consider neoplasms as a possible source of β-hCG production in sexually active women of reproductive age who present with subacute lower abdominal pain, identified adnexal mass on ultrasonography and positive serum or urine β-hCG readings.

Keywords

un-ruptured ectopic pregnancy; matured cystic teratoma; general practice; primary healthcare; unilateral dermoid cyst

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