RT Book, Section
A1 Rees, Margaret
A1 Hope, Sally
A1 Oehler, Martin K
A1 Moore, Jane
A1 Crawford, Polly
SR Print(0)
ID 1152372500
T1 Ectopic Pregnancy
T2 Problem Solving in Women's Health
YR 2018
FD 2018
PB Clinical Publishing
PP New York, NY
SN 9781846920288
LK hemonc.mhmedical.com/content.aspx?aid=1152372500
RD 2021/03/08
AB A  32-year-old  woman,  who  has  been  trying  to  conceive  for  13  months,  presents  with  seven  weeks  of  amenorrhoea  and  bleeding  like  a  light  period.  She  has  mild  pain  in  the  right  iliac  fossa.  Transvaginal  ultrasound  scanning  (TVS)  shows  a  thickened  endometrium,  no  intrauterine  gestational  sac,  but  free  fluid  in  the  pelvis.  Serum  human  chorionic  gonadotrophin  (hCG)  level  is  2749  IU/l.  Emergency  laparoscopy  and  a  salpingectomy  are  performed  to  remove  a  rupturing  ectopic  pregnancy.What  factors  predispose  an  individual  to  ectopic  pregnancy?How  does  a  typical  ectopic  pregnancy  present  and  evolve?Under  what  circumstance  would  one  attempt  to  preserve  the  affected  tube  and  how  likely  is  she  to  achieve  a  successful  pregnancy  in  future?