Clinical Treatment of Unruptured Ectopic Pregnancy

Elito, Júlio

doi:10.5772/19494

Cited by 4 publications

(3 citation statements)

References 111 publications

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“…This can lead to rupture hemorrhage, shock, and even become life-threatening. 2,3 Therefore, early unruptured tubal pregnancy (UTP) should be highly considered when a pregnancy test in blood or urine of the patient is positive and no pregnancy is found in utero . The objectives of this study were to investigate the ultrasonographic characteristics and diagnostic approaches of UTP.…”

Section: Introductionmentioning

confidence: 99%

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

et al. 2020

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Objective To investigate ultrasonographic characteristics and diagnostic approaches of unruptured tubal pregnancy (UTP). Methods One hundred forty-six cases of early tubal pregnancy, which were confirmed surgically, were analyzed. Results Among 146 cases of UTP, 130 were diagnosed by ultrasonography. Furthermore, 16 cases of UTP were missed by ultrasonography. A total of 130 patients had a mass detected by ultrasonography, among whom the mass and ipsilateral ovary were distinguishable in 102. The embryo sac type was found in 40.00% (52/130), while the heterogeneous mass type was found in 60.00% (78/130) of patients. The maximum length and diameter of the ectopic pregnancy mass ranged from 10 to 68 mm (mean size, 26.42 ± 11.39 mm). No blood flow was observed in or around the mass in 67.69% (88/130) of patients. Lateral tubal thickening of the mass was found in 47.69% (62/130) of patients. Endometrial thickness was ≤10 mm in 67.80% (99/146) of patients. The intima was mostly hyperechoic in 72.60% (106/146) of patients. Conclusion A paraovarian mass, thickened fallopian tube, uterine endometrium with a thickness of ≤10 mm, and high echo are important indicators of early UTP. Ultrasound examinations should focus on these indicators to help improve detection of early tubal pregnancy.

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Section: Introductionmentioning

confidence: 99%

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

et al. 2020

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“…Expectant management that has been practiced based on the natural course of many early EPs is a self-limiting process [16]. The patients selection for this management are hemodynamically stable patients, beta-hCG ≤ 2000 mUI/ml, decline Interstitial ectopic pregnancy: Presence of an eccentric gestational sac with myometrial tissue that surrounds the gestational sac with a thickness of 2 mm and the interstitial line [15].…”

Section: Interstitial Pregnancymentioning

confidence: 99%

Introductory Chapter: An Overview of the Diagnosis and Treatment of Non-tubal Ectopic Pregnancy

Elito¹

2020

Non-Tubal Ectopic Pregnancy

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“…Bleeding from an ectopic pregnancy is the leading cause of maternal death during the first trimester of pregnancy (2). Ectopic pregnancy is also an important cause of morbidity and a high percentage of the affected patients may become infertile (4). Complete tubal abortion is important to diagnose because it allows for conservative management during laparoscopy which ensures preservation of tubal function and fertility, without requiring further cytostatic therapy.…”

Section: Introductionmentioning

confidence: 99%

Complete Tubal Abortion: A Rare Form of Ectopic Pregnancy

Chirculescu¹,

Chirculescu²,

Ionescu³

et al. 2017

chr

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RezumatAvortul tubar se caracterizează prin eliminarea unui produs de concepţie implantat ectopic la nivelul trompei uterine, prin ostiumul abdominal, în cavitatea peritoneală. Poate fi complet sau incomplet putând provoca hemoragie severă. Recunoaşterea avortului tubar complet poate reprezenta o provocare, însa este esenţială, deoarece permite abordarea unei atitudini conservatoare, ce asigură păstratrea funcţionalităţii tubare şi a fertilităţii, în absenţa tratamentului citostatic. Este prezentat cazul unei paciente în vârstă de 30 de ani ce se internează pentru durere în etajul abdominal inferior. Valoarea serică a β-hCG-ului a fost de 659.2 mU/mL, iar examenul ecografic transvaginal a evidenţiat prezenţa unei colecţii lichidiene în spaţiul Douglas. S-a intervenit laparoscopic pentru suspiciune de sarcină ectopică cu hemoperitoneu. Coroborarea nivelurilor serice ale β-hCG-ului în dinamică cu aspectele laparoscopice au condus la stabilirea diagnosticului de avort tubar complet. Examenul histopatologic al ţesutului recoltat laparoscopic a confirmat prezenţa de trofoblast intermediar. Examinarea ecografică facilitează diagnosticarea hemoperitoneului, dar nu oferă informaţii specifice pentru diagnosticul de avort tubar. Aspectul laparoscopic poate fi sugestiv pentru avortul tubar complet, însă diagnosticul se stabileşte coroborat cu dinamica β-hCG-ului. În aceste cazuri, atitudinea conservatoare poate fi suficientă, asigurând păstrarea funcţiei tubare şi a fertilităţii, fără a necesita terapie citostatică suplimentară.Cuvinte cheie: avort tubar, sarcină ectopică, β-hCG, hemoperitoneu, conservarea fertilităţii AbstractTubal abortion is characterized by the extrusion of an ectopic product of conception implanted in the fallopian tube through the abdominal ostium into the peritoneal cavity. It can be either complete or incomplete and may lead to

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Clinical Treatment of Unruptured Ectopic Pregnancy

Cited by 4 publications

References 111 publications

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

Ultrasonographic diagnosis of early unruptured tubal pregnancy in a community hospital

Introductory Chapter: An Overview of the Diagnosis and Treatment of Non-tubal Ectopic Pregnancy

Complete Tubal Abortion: A Rare Form of Ectopic Pregnancy

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