Ectopic Pregnancy

Definition: Pregnancy that occurs outside the uterine cavity.

Classical clinical triad: Seen only in 45% of cases

Pain

Abnormal vaginal bleeding

Palpable adnexal mass

Other S/s:

Amenorrhea

Adnexal tenderness

Cervical excitation tenderness

RISK FACTORS

1.    Any tubal abnormality

2.    Previous tubal pregnancy

3.    H/o tubal reconstructive surgery

4.    Pelvic inflammatory disease (e.g., Chlamydia salpingitis)

5.    Intra-uterine contraceptive device (IUCD)

6.    Maternal factors (increasing age and parity)

7.    Previous C-section

Heterotopic

•  Coexistent intrauterine and ectopic

•  Increase risk in multiple pregnancies with ovulation induction and IVF

•  Correlation with β-hCG levels should be done

USG

1.    Empty uterus with decidual cast or pseudogestational sac is seen

Related posts:

Acute Abdomen and Abdominal Tuberculosis Infertility Peritoneum and Retroperitoneum Incompetent Cervix Recent Advances in Sonography Fetal Malformations

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