ECTOPIC PREGNANCY WITH OVOCYTE TRANSMIGRATION

A CLINICAL CASE REPORT

Abstract

The purpose of this article is to report a clinical case involving the occurrence of ectopic pregnancy (EP) and oocyte transmigration. A 33-year-old woman, native of Mozarlândia, Goiás, presented with polymenorrhea and dysmenorrhea after a positive pregnancy test. With no significant history of illnesses, the patient reported social alcohol consumption and previous use of oral contraceptives for 5 years. After the positive pregnancy test acquired at a pharmacy, she experienced vaginal bleeding and abdominal pain, leading her to an emergency consultation where the β-hCG test confirmed the pregnancy and a Transvaginal Ultrasound (TVUS) showed normal findings. With persistent symptoms, a second β-hCG test and subsequent TVUS revealed insufficient increase in hormonal levels and an adnexal mass with hemoperitoneum. A videolaparoscopy was performed, identifying an EP in the left fallopian tube and oocyte transmigration, treated with salpingostomy and ovarian cystectomy. The patient recovered well after surgery, without complications. This case highlights the importance of early diagnosis and timely surgical intervention in cases of EP, aiming to avoid severe complications and preserve the patient’s fertility. The diagnosis and treatment of EP are challenging due to the ambiguity of symptoms. Technological advances have improved diagnosis, but half of the cases are not initially identified. Treatment can be medical or surgical, depending on the severity and reproductive desires of the patient.