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Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. [5] Signs and symptoms classically include abdominal pain and vaginal bleeding, but fewer than 50 percent of affected women have both of these symptoms. [1] The pain may be described as sharp, dull, or crampy. [1]
Four criteria for differentiating ovarian from other ectopic pregnancies: The gestational sac is located in the region of the ovary. The ectopic pregnancy is attached to the uterus by the ovarian ligament. Ovarian tissue in the wall of the gestational sac is proved histologically. The tube on the involved side is intact.
A heterotopic pregnancy is a complication of pregnancy in which both extrauterine pregnancy and intrauterine pregnancy occur simultaneously. [2] It may also be referred to as a combined ectopic pregnancy, multiple‑sited pregnancy, or coincident pregnancy. The most common site of the extrauterine pregnancy is the fallopian tube.
To diagnose the rare primary abdominal pregnancy, Studdiford's criteria need to be fulfilled: tubes and ovaries should be normal, there is no abnormal connection between the uterus and the abdominal cavity, and the pregnancy is related solely to the peritoneal surface without signs that there was a tubal pregnancy first.
For example, a pregnant female who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has three living children would have a TPAL annotation of T1, P1, A1, L3. This could also be written as 1-1-1-3.
Ovarian pregnancy refers to an ectopic pregnancy that is located in the ovary. Typically the egg cell is not released or picked up at ovulation, but fertilized within the ovary where the pregnancy implants. [1] [2] [3] Such a pregnancy usually does not proceed past the first four weeks of pregnancy. [3]
Ectopic decidua are decidual cells found outside inner lining of the uterus. This condition was first described in 1971 by Walker [ 1 ] and the name 'ectopic decidua' was coined by Tausig. [ 2 ] While ectopic decidua is most commonly seen during pregnancy , it rarely occurs in non-pregnant people, accompanied by bleeding and pain.
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