{
    "abstract": "Tubal abortion is characterized by the extrusion of the foetus into the abdominal (peritoneal) cavity. It can either be a complete extrusion or incomplete with residual tissue remaining in the fallopian tube. It is a type of ectopic pregnancy that is difficult to determine the exact incidence of tubal pregnancies. Identifying cases of tubal abortions is crucial for individualized care since it can lead to a more conservative treatment approach. The diagnosis should be based on ultrasound imaging, b-hCG levels and visual conformation during exploratory surgery, either open or laparoscopic. The article describes the case of a 30-year old patient who presented with lower abdominal pain and was admitted for a suspected ectopic pregnancy. Ultrasound imaging showed a mass resembling a tubal pregnancy next to the uterus with b-hCG levels of 111.8 U/L. During laparoscopic surgery, a tubal abortion was detected in the pouch of Douglas (Rectouterine pouch). This finding led us to preserve both fallopian tubes. Histopathology confirmed our clinical findings. A conservative approach can be sufficient in case of tubal abortions, which can lead to preserved fertility and tubal functions.",
    "authors": [
        {
            "affiliation": null,
            "firstname": "Jan",
            "initials": "J",
            "lastname": "Zapletal"
        },
        {
            "affiliation": null,
            "firstname": "Kate\u0159ina",
            "initials": "K",
            "lastname": "Maxov\u00e1"
        },
        {
            "affiliation": null,
            "firstname": "Michael Ji\u0159\u00ed",
            "initials": "MJ",
            "lastname": "Hala\u0161ka"
        },
        {
            "affiliation": null,
            "firstname": "Luk\u00e1\u0161",
            "initials": "L",
            "lastname": "Rob"
        },
        {
            "affiliation": null,
            "firstname": "Martin",
            "initials": "M",
            "lastname": "Hruda"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.48095/cccg2024210",
    "journal": "Ceska gynekologie",
    "keywords": [
        "abortion",
        "ectopic pregnancy",
        "hCG",
        "laparoscopy",
        "tubal abortion"
    ],
    "methods": null,
    "publication_date": "2024-07-06",
    "pubmed_id": "38969515",
    "results": null,
    "title": "Complete tubal abortion which didn't require salpingectomy.",
    "xml": "<Element 'PubmedArticle' at 0x7885036eae80>"
}