EXTRAUTERINE PREGNANCY WITH FETAL ANOMALY – PEROMELIA

Prikazana je pacijentica kojoj je ultrazvučno dijagnosticirana izvanmaternična trudnoća. Pacijentica se 11 tjedana po izostanku menstruacije javila ginekologu. Prisutne tegobe su bile bol u trbuhu i oskudno vaginalno krvarenje. Ginekološkim pregledom se posumnja na izvanmaterničnu trudnoću, koja se potvrdi ultrazvučnim pregledom. Na osnovi zadnje menstruacije izračuna se da se radi o trudnoći dobi 11+2 tjedna. Ultrazvučnom biometrijom i mjerenjem dužine ploda pri patohistološkom pregledu procijenjeno je se da se radi o trudnoći od 9–10 tjedana. U oba slučaja radi se o fetal¬nom razdoblju trudnoće. Urađen je operativni zahvat, laparotomija i salpingektomija. Preparat je upućen na patohistološku analizu gdje je dijagnosticirana anomalija ploda: skraćena desna podlaktica i nedostatak desne šake fetusa.A patient by ultrasound diagnosed extrauterine pregnancy is presented. The patient reported oneself to her gynecologist 11 weeks after she had missed her period. Presented discomforts included pain in the area of abdomen and meager vaginal bleeding. A gynecological examination indicated extrauterine pregnancy that was confirmed by the ultrasound examination. On the basis of her last period the pregnancy was appreciated to be 11+2 weeks. By the ultrasound biometry and measuring the length of fetus on pathohistology, the pregnancy was estimated to be 9–10 weeks. In any case it was the fetal stage of pregnancy. A surgical treatment, laparotomy and salpingectomy, was performed. The preparation was sent to patohistology analysis which diagnosed fetus anomaly: reduced right underarm and completely undeveloped right hand