Document Detail

Ectopic pregnancy.
MedLine Citation:
PMID:  3896446     Owner:  NLM     Status:  MEDLINE    
Ectopic pregnancy is no longer dependent on laparotomy for definitive diagnosis. When patients present with massive hemoperitoneum, the diagnosis is usually obvious; but most patients do not present this way, so diagnostic aids are required. Culdocentesis is associated with unusually high false-negative and false-positive results. Laparoscopy is accurate but is an invasive procedure unwarranted in most cases for diagnosis. Although it is unusual to make the diagnosis of unruptured ectopic pregnancy by ultrasonography alone, when ultrasonography is combined with quantitative beta-subunit determinations of human chorionic gonadotropin, many ectopic pregnancies can be diagnosed before rupture occurs. The treatment of the woman with a ruptured ectopic pregnancy and in shock is immediate laparotomy and salpingectomy. Salpingostomy with removal of the ectopic mass and preservation of the tube may enhance a patient's subsequent fertility and may be useful in carefully selected women.
M E Boyd
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  28     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1985 Sep 
Date Detail:
Created Date:  1985-10-16     Completed Date:  1985-10-16     Revised Date:  2007-08-16    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  397-9     Citation Subset:  IM    
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MeSH Terms
Diagnosis, Differential
Fallopian Tubes
Hemoperitoneum / etiology
Pelvic Inflammatory Disease / diagnosis
Pregnancy, Tubal / complications,  diagnosis*,  surgery
Rupture, Spontaneous / prevention & control

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