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Introduction: Ectopic Pregnancy

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Next, we'll discuss ectopic pregnancy,

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which is defined as implantation of a fertilized

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ovum outside of the endometrial cavity.

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The most common location for ectopic pregnancy

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to occur is the ampulla of the fallopian tube.

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Rarer locations include the uterine

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interstitium, the ovary, cervix,

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cesarean section scar, or, most rare

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of all, intra-abdominal location.

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On all imaging modalities, ectopic

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pregnancies will appear as a ring

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like hypervascular structure in the

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absence of an intrauterine gestation.

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In ectopic pregnancy, we may also

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see an abnormal rise in beta-HCG.

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In a normal first-trimester pregnancy, we expect

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the beta-HCG to double every 24 to 48 hours.

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In the setting of ectopic pregnancy,

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we may see slower doubling times

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or an abnormally low beta-HCG.

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Ectopic pregnancy is particularly important

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to identify because of the potential for

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severe maternal hemorrhage if ruptured.

Report

Faculty

Erin Gomez, MD

Assistant Professor of Radiology

Johns Hopkins Hospital

Tags

Women's Health

Uterus

Ultrasound

MRI

Gynecologic (Gyn)

Gynecologic (GYN)

Genitourinary (GU)

Fallopian Tubes

CT

Body

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