{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:49:59Z","timestamp":1761709799413},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr H. Sci."],"abstract":"<jats:p>Background: It is uncommon to find ampullary tubal pregnancy in the second trimester.&#x0D;\nMethods: A 35-year-old G4P3 at 16 gestational weeks presented with a day history of sudden severe lower abdominal pain and no vaginal bleeding. The patient had a normal pulse of 82\/minutes, haemoglobin concentration of 6.3 g\/dl and ultrasonography showed an empty uterus with an alive fetus in the right adnexa. She was provisionally diagnosed to have an abdominal pregnancy.&#x0D;\nResults: The patient had an emergency laparotomy where 2.2 L of haemoperitoneum and a slow-leaking right ampullary tubal pregnancy were found. Right total salpingectomy was performed and she had an uncomplicated post-operative fol- low-up. Histology of the lesion confirmed tubal pregnancy.&#x0D;\nConclusion: The growth of a pregnancy in the ampulla beyond the first trimester is possibly due to increased thickness and or distensibility of the fallopian tube. A tubal pregnancy may present with a normal pulse despite significant haemorrhage.&#x0D;\nKeywords: Abdominal pain; ampullary tubal ectopic pregnancy; Bezold\u2013Jarish-like reflex.<\/jats:p>","DOI":"10.4314\/ahs.v20i4.47","type":"journal-article","created":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T10:54:54Z","timestamp":1608288894000},"page":"1895-7","source":"Crossref","is-referenced-by-count":5,"title":["Ectopic pregnancy in the ampulla of the fallopian tube at 16 gestational weeks: lessons from a case report"],"prefix":"10.4314","volume":"20","author":[{"given":"Nnabuike","family":"Chibuoke Ngene","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ongombe","family":"Lunda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2895","published-online":{"date-parts":[[2020,12,16]]},"container-title":["African Health Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/202360\/190817","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/202360\/190817","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,18]],"date-time":"2020-12-18T10:55:09Z","timestamp":1608288909000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/view\/202360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,16]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,12,17]]}},"URL":"https:\/\/doi.org\/10.4314\/ahs.v20i4.47","relation":{},"ISSN":["1680-6905"],"issn-type":[{"value":"1680-6905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,16]]}}}