Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location

Kirk, E.; Bottomley, C.; Bourne, Tom

doi:10.1093/humupd/dmt047

Cited by 208 publications

(187 citation statements)

References 98 publications

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“…Intramyometrial gestation rarely exceeds 12weeks gestation with risk of uterine rupture and 2.5% of maternal mortality. 5 Most common etiological factor is uterine trauma resulting in a sinus tract within the endometrium. Other factors include increased trophoblastic activity and defective decidualisation which allows the conceptus to penetrate into the myometrium.…”

Section: Discussionmentioning

confidence: 99%

Intramyometrial Gestation: A Rare Localization of Ectopic Pregnancy

Sarkar

Ravikanth

Pinto

et al. 2017

IJRRT

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Intramyometrial pregnancy is the rarest subtype of ectopic pregnancy. It poses a diagnostic and therapeutic challenge. Preoperative diagnosis is difficult and hysterectomy may be required due to delay in diagnosis. Misdiagnosis can lead to uterine rupture with life threatening haemorrhage. We report a rare case of intramyometrial ectopic in a 27year old lady, P3L3 with no history of previous abortions. Patient was admitted at 8 weeks of gestation with pelvic pain and haemorrhage. She underwent ultrasound pelvis and MRI pelvis which revealed an intramyometrial ectopic gestation. Findings on diagnostic laparoscopy revealed an asymmetrically enlarged anterior wall of uterus. Hysteroscopy was performed concurrently demonstrating an empty uterine cavity. Medical management was adopted with methotrexate. She was followed up until the Beta HCG levels returned to baseline. This case report illustrates the imaging findings of an exceptional case of intramyometrial ectopic pregnancy.

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Section: Discussionmentioning

confidence: 99%

Intramyometrial Gestation: A Rare Localization of Ectopic Pregnancy

Sarkar

Ravikanth

Pinto

et al. 2017

IJRRT

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“…Important investigations such as blood gases and blood ketones [2,9] are almost nonexistent at the district and regional hospitals of Ghana but may be restricted to some teaching hospitals where they are seldom being done due to lack of appropriate reagents. a combination of sensitive urinary pregnancy tests (UPT), transvaginal ultrasound (TVUSG) and serum hCG estimations and clinical features of vaginal bleeding, abdominal pains and vomiting [7,10,11]. The patient was misdiagnosed as ectopic gestation based on history of 2 months of amenorrhoea, abdominal pain, vomiting and positive pregnancy test.…”

Section: Discussionmentioning

confidence: 99%

Diabetic Ketoacidosis Misdiagnosed as Ectopic Gestation in an 18-Year-Old Ghanaian: A Case Report

Ameyaw¹,

Barnes²,

Ansah³

et al. 2017

Cell Mol Med

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Diabetic ketoacidosis (DKA) is the most frequent hyperglycemic acute diabetic complication of type 1 diabetes. It carries a significant risk of death especially in Africa where there is usually late presentation and misdiagnosis and mismanagement are more frequent. All physicians, irrespective of discipline and level of practice, should be able to diagnose DKA early and initiate prompt management to optimize the chances of survival.

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“…Once ruptured, patients classically present with severe abdominal pain, rebound and rigidity, tachycardia, and hypotension. [1] Here we present a case of a young woman with a very atypical presentation of ruptured ectopic pregnancy.…”

Section: Introductionmentioning

confidence: 98%

“…[1] Women with ectopic pregnancies are often asymptomatic or may complain of amenorrhea, vaginal spotting, and lower abdominal cramping pain. They may also report common symptoms of early pregnancy such as nausea, vomiting, dizziness, and flu-like illness.…”

Section: Introductionmentioning

confidence: 99%