Extra-uterine Pregnancy

 Extra-uterine Pregnancy 

When fertilized ovum embeds outside the uterine cavity, the pregnancy is said to be extra uterine. Commonly in the fallopian tube, abdominal cavity, cervix and rarely ovaian .

 

Tubal Pregnancy /Ectopic Pregnancy Causes:

Congenital abnormality of the tube, Previous infection, Surgery on the tube IUCD, Assisted reproductive techniques

 

Physiology:

 

The blastocyst rapidly erodes the epithelial lining of the fallopian tube and becomes attached to the muscle layer.

 

Signs & Symptoms


·              History of amenorrhea

 

·              Mild lower abdominal discomfort or acute Abdominal pain

 

·              Occasional attack of sharp and stabbing pain which is localized in nature

 

·              Accompanied by nausea

 

·              There may be brownish vaginal discharge, dizziness, shoulder pain – bleeding into the peritoneal cavity

 

Other signs of pregnancy may be absent


·              Ultrasound may assist diagnosis

 

·              Shock may be present

 

Possible outcome:


If occurs near the distal end of the tube

 

1.           Tubal abortion may result

 

2.           Tubal mole

 

3.           Tubal rupture which may be gradual or sudden

 

4.           Abdominal pregnancy

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