Ectopic Pregnancy

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

Only gold members can continue reading. Log In or Register to continue

Nov 6, 2018 | Posted by in ULTRASONOGRAPHY | Comments Off on Ectopic Pregnancy
Premium Wordpress Themes by UFO Themes