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Ectopic pregnancy is responsible for 6% of maternal deaths during the first trimester of pregnancy making it the leading cause of maternal death during this stage of pregnancy. [ 1 ] Between 5% and 42% of women seen for ultrasound assessment with a positive pregnancy test have a pregnancy of unknown location, that is a positive pregnancy test ...
Aboutalib never bore children again after her ectopic pregnancy, but adopted three. [21] [22] [23] Unknown (80) South Africa 1960 2001 (c. 40 years) An 80-year-old woman presented in the outpatient department with severe abdominal pain. Ultrasound examination revealed a large echogenic mass (20 × 20 cm) in the right upper quadrant.
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.
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.
An abdominal pregnancy is a rare type of ectopic pregnancy where the embryo or fetus is growing and developing outside the uterus, in the abdomen, and not in a fallopian tube (usual location), an ovary, or the broad ligament. [1] [2] [3]
A cervical pregnancy is an ectopic pregnancy that has implanted in the uterine endocervix. [2] Such a pregnancy typically aborts within the first trimester , however, if it is implanted closer to the uterine cavity – a so-called cervico-isthmic pregnancy – it may continue longer. [ 3 ]
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A woman may shed the lining in the form of a decidual cast, which may be mistaken as a miscarriage, when, in fact, the ectopic pregnancy still persists. A decidual reaction can be observed in tissue of the peritoneum and ovary during a pregnancy, and represents a response of stromal tissue to progesterone.