pregnancy testSamantha Huq MD MPHEctopic pregnancyLeft adnexal mass with gestational sac white arrow yolk sac and fetal pole black arrow CRL is 66mm which corresponds to 6 wk4 days gestational age Fet ID: 892307
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1 34 y/o F w/ positive urine pregnancy te
34 y/o F w/ positive urine pregnancy test Samantha Huq , MD, MPH ? Ectopic pregnancy Left adnexal mass with gestation
2 al sac (white arrow), yolk sac and feta
al sac (white arrow), yolk sac and fetal pole (black arrow). CRL is 6.6mm, which corresponds to 6 wk 4 days gestation
3 al age. Fetal pole demonstrates heart
al age. Fetal pole demonstrates heart beat (136 bpm) Ectopic pregnancy Ectopic pregnancy is implantation of a fertil
4 ized ovum outside the uterine cavity. C
ized ovum outside the uterine cavity. Classic presentation is with abdominal pain and bleeding. In practice, symptoms
5 are usually not severe. Risk factors in
are usually not severe. Risk factors include in vitro fertilization (IVF), prior ectopic pregnancy, tubal injury or s
6 urgery, pelvic inflammatory disease, use
urgery, pelvic inflammatory disease, use of intrauterine contraceptive devices. In vast majority of the cases, implant
7 ation is within the fallopian tube: amp
ation is within the fallopian tube: ampullary: 70%; isthmal : 12%; fimbrial : 11%; interstitial: 3 - 4%. Other locati
8 ons: ovarian, cervical, scar ectopic, ab
ons: ovarian, cervical, scar ectopic, abdominal. Top differentials include: ruptured corpus luteum, intrauterine pregn
9 ancy, incidental adnexal mass. Referenc
ancy, incidental adnexal mass. References ⢠Frates MC et al: Adnexal sonographic findings in ectopic pregnancy and
10 their correlation with tubal rupture and
their correlation with tubal rupture and human chorionic gonadotropin levels. J Ultrasound Med. 33(4):697 - 703, 2014 â
11 ¢ Ko JK et al: Time to revisit the huma
¢ Ko JK et al: Time to revisit the human chorionic gonadotropin discriminatory level in the management of pregnancy of
12 unknown location. J Ultrasound Med. 33
unknown location. J Ultrasound Med. 33(3):465 - 71, 2014 ⢠Wang M et al: Nonsurgical management of live tubal ectopi
13 c pregnancy by ultrasound - guided loca
c pregnancy by ultrasound - guided local injection and systemic methotrexate. J Minim Invasive Gynecol. 21(4):642 - 9,