OC64: Pain does not predict ultrasound diagnosis of ectopic pregnancy in the Early Pregnancy Unit

2007 ◽  
Vol 30 (4) ◽  
pp. 386-387
Author(s):  
C. Bottomley ◽  
E. J. Kirk ◽  
F. Mukri ◽  
T. Bourne
Keyword(s):  
Ectopic Pregnancy ◽  
Early Pregnancy ◽  
Ultrasound Diagnosis

Role of Serum β-HCG doubling in Diagnosis of Early Pregnancy and its Management Strategy

2020 ◽  
Vol 16 ◽  
Author(s):  
Divya Mirji ◽  
Shubha Rao ◽  
Akhila Vasudeva ◽  
Roopa P.S
Keyword(s):  
Ectopic Pregnancy ◽  
Early Pregnancy ◽  
Management Strategy ◽  
Transvaginal Ultrasound ◽  
Expectant Management ◽  
First Trimester ◽  
Intrauterine Pregnancy ◽  
Β Hcg ◽  
Pregnancy Of Unknown Location

Background: Pregnancy of unknown location (PUL) is defined as the absence of intrauterine or extrauterine sac and Beta Human Chorionic Gonadotropin levels (β-HCG) above the discriminatory zone of 1500 mIU/ml. It should be noted that PUL is not always an ectopic; however, by measuring the trends of serum β-HCG, we can determine the outcome of a PUL. Objective: This study aims to identify the various trends β-HCG levels in early pregnancy and evaluate the role of β-HCG in the management strategy. Methods: We conducted a prospective observational study of pregnant women suspected with early pregnancy. Cases were classified as having a pregnancy of unknown location (PUL) by transvaginal ultrasound and ß-HCG greater than 1000 mIU/ml. Expectant management was done until there was a definite outcome. All the collected data were analyzed by employing the chi-square test using SPSS version 20. Results: Among 1200 women who had early first trimester scans, 70 women who fulfilled our criteria of PUL and ß-HCG > 1000 mIU/ml were recruited in this study. In our study, the mean age of the participants was 30±5.6yrs, and the overall mean serum ß-HCG was 3030±522 mIU/ml. The most common outcome observed was an ectopic pregnancy, 47% in our study. We also found the rate of failing pregnancy was 27%, and that of intrauterine pregnancy (IUP) was 25%. Overall, in PUL patients diagnosed with ectopic pregnancy, 9% behaved like IUP, and 4% had an atypical trend in their ß-HCG. Those who had an IUP, 11% had a suboptimal increase in ß-HCG. Conclusion: PUL rate in our unit was 6%. Majority of the outcome of PUL was ectopic in our study. Every case of PUL should be managed based on the initial ß-HCG values, clinical assessments and upon the consent of the patient.

Chronic ectopic pregnancy mimicking pelvic malignancy

2021 ◽  
Vol 14 (3) ◽  
pp. e233534
Author(s):  
Edwin Omih ◽  
Argyrios Makris ◽  
Cheng Choy ◽  
Nikhil Bhuskute
Keyword(s):  
Weight Loss ◽  
Ectopic Pregnancy ◽  
Bowel Obstruction ◽  
Early Pregnancy ◽  
Pelvic Mass ◽  
Common Complication ◽  
Pelvic Malignancy ◽  
Atypical Case ◽  
Ectopic Gestation ◽  
Negative Pregnancy Test

Ectopic pregnancy is a common complication of early pregnancy. We present a very atypical case of an ectopic gestation in a woman who presented with a negative pregnancy test, a large pelvic mass, weight loss and bowel obstruction.

Determination of early pregnancy

1935 ◽  
Vol 31 (2) ◽  
pp. 279-279
Author(s):  
I. Danilov
Keyword(s):  
Ectopic Pregnancy ◽  
Early Pregnancy ◽  
Accurate Diagnosis ◽  
To Receive

The author, recognizing the Zondek-Aschheim'a reaction extremely valuable for determining early pregnancy, considers its length of time to receive a response (100 hours) to be a great disadvantage, and therefore it is not very suitable in cases where it is required to quickly achieve an accurate diagnosis (ectopic pregnancy).

scholarly journals OP04.03: Ultrasound diagnosis of ectopic pregnancy in the non-communicating horn of a unicornuate uterus (cornual pregnancy)

2007 ◽  
Vol 30 (4) ◽  
pp. 467-468
Author(s):  
D. Mavrelos ◽  
E. Sawyer ◽  
S. Helmy ◽  
T. K. Holland ◽  
J. Ben-Nagi ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Ultrasound Diagnosis ◽  
Cornual Pregnancy ◽  
Unicornuate Uterus

Ultrasound diagnosis of bilateral ectopic pregnancy: Still a myth?

2015 ◽  
Vol 87 (6) ◽  
pp. 490-492
Author(s):  
P. Sinha ◽  
A. Koumousidis ◽  
M. Carr ◽  
C. Sofoudis
Keyword(s):  
Ectopic Pregnancy ◽  
Ultrasound Diagnosis ◽  
Bilateral Ectopic Pregnancy
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