Tubal pregnancy

Clinical story

A 30 years old woman with a positive pregnancy test and abdominal pains. One

year earlier, she had been diagnosed with a tubal pregnancy of the right side. An ultrasound confirms the suspicion of a pregnancy in the remaining tube.

Virtual microscopy of the slide

Comments

Two cross sections through a dilated fallopian tube are presented.

Immature placental villi with cyto- and syncytiotrophoblasts along and in the fallopian wall are recognized. Fetal remnants are seen. The villi of the fallopian mucosa show fibrosis and adhesions, consistent with an earlier salpingitis.

Learning goals

To recognize a normal pregnancy in an abnormal place and understand the possible complications.