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Year : 2016  |  Volume : 36  |  Issue : 5  |  Page : 202-204

Manual compression management for internal bleeding of Cul-de-Sac ectopic pregnancy

1 Department of Obstetrics and Gynecology, National Defense Medical Center, Tri-Service General Hospital, Taipei, Taiwan, Republic of China
2 Department of Obstetrics and Gynecology, Buddhist Tzu Chi General Hospital, Tzu Chi University, Hualien, Taiwan, Republic of China

Correspondence Address:
Kwei-Shuai Hwang
Department of Obstetrics and Gynecology, National Defense Medical Center, Tri-Service General Hospital, 5F, 325, Section 2, Cheng-Gong Road, Nei-Hu District, 114 Taipei, Taiwan
Republic of China
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1011-4564.192842

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Abdominal ectopic pregnancy is rare among all ectopic pregnancies and only few cases were treated with laparoscopic surgery. The most challenging management is adequate hemostasis after the removal of gestational material. We present a case of abdominal ectopic pregnancy with massive hemoperitoneum who was treated with laparoscopy and manual hemostasis during the surgery. After the removal of gestational material, persistent bleeding from the rough surface of rectal serosa was observed. Thermal coagulation was dilemmatic due to proximity to the rectum. Then, we used manual compression with one index finger in the rectum combined with gauze compression by laparoscopic instrument. The hemostasis was achieved successfully.

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