Emergency Medicine Myths: Ectopic Pregnancy Evaluation, Risk Factors, and Presentation

Robertson, Jennifer; Long, Brit; Koyfman, Alexander

doi:10.1016/j.jemermed.2017.08.074

Cited by 18 publications

(11 citation statements)

References 64 publications

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“…The classic clinical symptoms of ovarian pregnancy include amenorrhea, abdominal pain, and vaginal bleeding, which are similar to the other kinds of ectopic pregnancy [6]. Some cases had no specific clinical manifestations prior to rupture.…”

Section: Discussionmentioning

confidence: 93%

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Sun¹,

Li²,

Guo³

et al. 2021

Advanced Ultrasound in Diagnosis and Therapy

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Primary ovarian pregnancy is rare in the classifications of ectopic pregnancy with an incidence of 0.5-3% of all ectopic gestations. The surgical management of ovarian pregnancy is different from the operation of salpingocyesis. Preoperative diagnosis in early pregnancy can help to guide the optimal management. We have reported the case of a 37-year-old woman who presented with a naturally conceived ovarian pregnancy. Transvaginal ultrasound was used in this patient, and made the correct diagnosis of ovarian pregnancy before surgery. We found that transvaginal ultrasound can be helpful in the diagnosis of the location of ectopic pregnancies.

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Section: Discussionmentioning

confidence: 93%

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Sun¹,

Li²,

Guo³

et al. 2021

Advanced Ultrasound in Diagnosis and Therapy

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“…Ectopic pregnancy affects up to 2% of gestations [ 1 , 2 ]. While fallopian tube involvement is the most common, abdominal, cervical, ovarian, and caesarean section scar implantation have also been reported [ [1] , [2] , [3] , [4] ]. Risk factors predisposing women to ectopic pregnancies hinge on disrupted fallopian tube anatomy [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…It occurs when a fertilized ovum implants at an extra-uterine location, most commonly the ampulla of the fallopian tubes [ 1 ]. Other reported implantation sites include the abdomen, cervix, caesarean-section scar, and ovary [ 3 , 4 ]. While improvements in diagnostic technique and treatment have been made, ectopic pregnancy can be initially missed and remains a significant contributor to pregnancy-related deaths and decreased fertility [ 1 , 2 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports

Gauvin

Amberger

Louie

et al. 2019

Case Reports in Women's Health

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Ectopic pregnancy is a life-threatening condition affecting up to 2% of gestations. Implantation in the fallopian tube is most common, with symptoms typically presenting earlier for gestations in the ampulla and isthmus compared with the cornua and non-tubal sites. In this paper, the cases are described of two patients with advanced ectopic pregnancies that ruptured. One woman aged 36 years presented at 17 1/7 weeks' gestation with a ruptured cornual ectopic pregnancy. The other woman, aged 35 years, presented at 11 1/7′ weeks gestation with a ruptured ectopic pregnancy in the left tubal ampulla. To our knowledge, there are no other reported cases of a tubal ampulla pregnancy presenting at such an advanced gestation with no prior symptoms.

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“…It is important for clinicians to understand the limitation of hCG. [ 13 ] Although with the use of TVUSS, the “discriminatory zone” level of serum hCG is between 1000 and 1500 IU/L 3 , which describes the lowest hCG level in which ultrasound should detect visible signs of early pregnancy, such as fetal pole or yolk sac, [ 14 ] not every patient will demonstrate similar findings on imaging test. Some investigators suggested several factors contributed to the nonvisualization of pregnancy, such as adenomyosis and uterine fibroids.…”

Section: Discussionmentioning

confidence: 99%

A spontaneous bilateral tubal pregnancy

Xu¹

2018

Medicine

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Rationale:Ectopic pregnancy (EP) is a condition in which a fertilized oocyte implants outside the uterine. Spontaneous bilateral tubal pregnancies are the rarest form of ectopic and are considered spontaneous when no fertility treatments are involved. There are few prior cases. Here I report a case of spontaneous bilateral tubal pregnancy.Patient concerns:A 24-year-old female with long lasting vaginal bleeding of 29 days duration.Diagnoses:Transvaginal ultrasound observed small complex masses on both adnexal sides without intrauterine gestational sac, and the hCG level was 21438 IU/L. But diagnosing based only on imaging findings and blood test result was difficult.Interventions:Operative laparoscopy with salpingectomy bilaterally.Outcomes:Villi were clearly shown in both resected tubes. A spontaneous bilateral tubal pregnancy was confirmed finally and the patient recovered uneventfully.Lessons:Women of reproductive age with irregular menstruation should get access to diagnosis and appropriate treatment without delay. Salpingotomy should also be considered if the patient had a strong wish for future pregnancy. Developments of diagnosis and management of such condition are strongly called for.

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Emergency Medicine Myths: Ectopic Pregnancy Evaluation, Risk Factors, and Presentation

Cited by 18 publications

References 64 publications

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports

A spontaneous bilateral tubal pregnancy

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Emergency Medicine Myths: Ectopic Pregnancy Evaluation, Risk Factors, and Presentation

Cited by 18 publications

References 64 publications

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Preoperative Diagnosis of Ovarian Pregnancy by Transvaginal Ultrasound: A Case Report

Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports

A spontaneous bilateral tubal pregnancy

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Previously asymptomatic ruptured tubal ectopic pregnancy at over 10 weeks' gestation: Two case reports