Bilateral ectopic gestation
, although rare, should be regarded as the differential diagnosis for ectopic pregnancy, especially in assisted reproductive technology cases and high titers of [beta]-HCG (more than 100000).
KEY WORDS: Ectopic gestation
, Transabdominal sonography, Transvaginal sonography.
12) Finally, the presence of an adnexal mass, the hallmark of an ectopic gestation
, can be absent in 50% of patients, (3) present in 69% to 98% of patients with adnexal torsion, (14,15) and present in 25% to 49% of patients with acute PID.
The possibility of persistent trophoblastic disease and recurrence of tubal ectopic gestation
following tubal milking limits its routine use as a conservative procedure.
94%) fimbrial, this shows that ampullary region tubal ectopic is the most common site for tubal ectopic gestation
2%) Table 4: Distribution of patients according to clinical symptoms, Course of ectopic pregnancy and location of ectopic gestation
Clinical Symptom Number of Patients Delayed period 2(28.
This rare ectopic gestation
has been reported in the literature infrequently.
9] Homm at all have done a retrospective study, which concluded that the incidence of ectopic gestation
is more common in patients with salpingitis isthamica nodosa.
Management: Heterotopic pregnancy is treated with surgical removal of the ectopic gestation
by salpingectomy or salpingectomy.
Rest 50 cases (50%) includes cases which are complete abortion12 cases (12%), incomplete abortion 5cases (5%), inevitable abortion 2 cases (2%), missed abortion 19 cases (19%) blighted ovum 8 cases (8%), ectopic gestation
3 cases (3%) and complete Mole 1 cases (1%).
Histopathological examination showed fallopian tube fragment showing features of decidualisation thus suggesting ectopic gestation
Ampulla was the commonest site of ectopic gestation
with tubal rupture being common outcome in 60% of the cases.