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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 ...
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.
The workup for Fitz-Hugh–Curtis syndrome at presentation begins with ruling out pregnancy or an ectopic pregnancy with a pregnancy test, this can also help guide antibiotic therapy if indicated to prevent teratogens. Radiographic studies are often indicated to rule out other thoracic, abdominal, and pelvic pathologies.
Untreated PID can result in long-term complications including infertility, ectopic pregnancy, chronic pelvic pain, and cancer. [2] [3] [4] The disease is caused by bacteria that spread from the vagina and cervix. [5] It has been reported that infections by Neisseria gonorrhoeae or Chlamydia trachomatis are present in 75 to 90 percent of cases. [2]
Persistent elevation of serum hCG levels after a non molar pregnancy (i.e., normal pregnancy [term pregnancy], or preterm pregnancy, or ectopic pregnancy [pregnancy taking place in the wrong place, usually in the fallopian tube], or abortion) always indicate persistent GTD (very frequently due to choriocarcinoma or placental site trophoblastic ...
It is named for gynecologist Thomas Stephen Cullen (1869–1953), [1] who first described the sign in ruptured ectopic pregnancy in 1916. [ 2 ] This sign takes 24–48 hours to appear and can predict acute pancreatitis , with mortality rising from 8–10% to 40%.
Human chorionic gonadotropin is a glycoprotein composed of 237 amino acids with a molecular mass of 36.7 kDa, approximately 14.5kDa αhCG and 22.2kDa βhCG. [4]It is heterodimeric, with an α (alpha) subunit identical to that of luteinizing hormone (LH), follicle-stimulating hormone (FSH), thyroid-stimulating hormone (TSH), and a β (beta) subunit that is unique to hCG.
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.
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