APMAdvances in Precision Medicine2424-85922424-9106WHIOCE PUBLISHING PTE. LTD.10.18063/APM.v11i2.1415ArticleA Case Report of Tubal Pregnancy Complicated with Ipsilateral Corpus Luteum Rupturehttps://artdesignp.com/journal/APM/11/2/10.18063/APM.v11i2.1415HuangQian,QuChaoyan20261122026-02-26Objective: To explore the clinical diagnostic and therapeutic characteristics,key surgical management points, and differential diagnosis approaches of tubal pregnancy complicated with ipsilateral corpus luteum rupture, so as to provide a case reference for the emergency treatment of such rare acute conditions. Methods: The clinical data, auxiliary examination results, surgical procedures, pathological reports, and postoperative follow-up of 1 patient with tubal pregnancy complicated with ipsilateral corpus luteum rupture were retrospectively analyzed and discussed in conjunction with relevant literature. Results: The patient was admitted emergently due to abdominal pain with vaginal bleeding after menopause, and diagnosed via serum human chorionic gonadotropin (hCG) detection, gynecological ultrasound, and laparoscopic exploration. Laparoscopic procedures including right ovarian corpus luteum cystectomy, right tubal pregnancy lesion clearance, local methotrexate injection, and intrauterine device removal were performed. Postoperative pathology confirmed right tubal pregnancy (abortive type) and right ovarian corpus luteum cyst. The patient recovered well postoperatively with no abnormalities during 3 months of follow-up. Conclusion: Tubal pregnancy complicated with ipsilateral corpus luteum rupture presents overlapping clinical symptoms, making missed diagnosis likely. Emergency diagnosis requires comprehensive judgment based on medical history, physical examination, and auxiliary examinations. Laparoscopic surgery is the preferred approach, and timely, standardized intervention can significantly improve patient prognosis.Ectopic pregnancy, Corpus luteum rupture, Laparoscopic surgery, Case report

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