Fallopian tube rupture
| Classification according to ICD-10 | |
|---|---|
| O00.1 | Tubal pregnancy - rupture of the tuba (uterina) due to pregnancy |
| ICD-10 online (WHO version 2019) | |
A fallopian tube rupture (synonyms: tube rupture, tubal rupture) is the bursting or tearing of the fallopian tube (tuba uterina).
Cause and development of the disease
The fallopian tube rupture can occur as a result of an ectopic pregnancy (tubal pregnancy). In an ectopic pregnancy , the fertilized egg cell (zygote) does not implant itself in the uterine mucosa, but in the mucous membrane of the fallopian tube. It is usually the result of a transport disruption in the fallopian tube. Due to the growth of the zygote, the fallopian tube, which is not very flexible, tears after a few weeks if the fruit has not detached beforehand. The latter leads either to an abortion , which in this case is called tubal abortion , or to re-implantation, then in the peritoneum , which is called abdominal pregnancy . The main risk factors for an ectopic pregnancy and thus also for a rupture of the fallopian tubes are previous inflammations of the adnexa , so-called adnexitis, or previous lower abdominal operations.
Clinical manifestations
A fallopian tube rupture leads to the clinical picture of an acute abdomen with acute onset of pelvic pain that is often laterally pronounced. The bleeding that begins will irritate the peritoneum, which can lead to nausea and vomiting as a sign of peritonitis. In addition to the symptoms mentioned, previous sexual intercourse, a brief absence of the menstrual period (a few weeks) and an existing desire to have children may indicate a possible rupture of the fallopian tube. During palpation, the palpation of the abdomen, especially a defense tension becomes apparent . The tube rupture can lead to life-threatening shock symptoms .
Diagnosis and therapy
As an indication for an existing pregnancy is pregnancy test performed. In ectopic pregnancy, values for human chorionic gonadotropin (HCG) are increased, but less than in a normal pregnancy. Another laboratory sign is anemia due to bleeding. The suspected diagnosis of a fallopian tube rupture can be confirmed with the help of a vaginal ultrasound and is usually confirmed laparoscopically . Laparoscopy is also the therapy method of choice.
literature
- Kay Goerke, Ulrike Bazlen: Gynecology and Obstetrics . Urban & Fischer Verlag 2005, pp. 137 ff. ISBN 3-437-48140-1 .
