Some early signs of ectopic pregnancy are same as normal pregnancy such as amenorrhea. Clinical presentation of ectopic pregnancy
: occurs at a mean of 7.2 weeks after the last normal menstrual period, with a range of 4 to 8 weeks. Early signs of ectopic pregnancy include light vaginal bleeding, lower abdominal pain, sharp abdominal cramps and pain on one side of body. Other symptoms include, nausea,
vomiting and diarrhoea. In ruptured ectopic pregnancy, there may be abdominal distension and abdominal tenderness, peritonism and hemorrhagic shock. Women with pelvic inflammatory
: disease (PID) have a high occurrence of ectopic
: pregnancy
Diagnosis and treatment: Transvaginal ultrasonography has a sensitivity of atleast 90% for ectopic pregnancy. The
: diagnostic ultrasonographic finding in ectopic pregnancy is an adnexal mass that moves separately from the ovary In around 60% of cases, it is noncystic adnexal mass sometimes known as the blob sign". This sign has been estimated to have a sensitivity of 84% and specificity of in diagnosing ectopic pregnancy. A laparoscopy or laparotomy can also be performed to visually confirm an ectopic pregnancy Methotrexate treatment for ectopic pregnancy has reduced the need for surgery; however, surgical intervention is still required in cases where the Fallopian tube has ruptured In an ectopic pregnancy that causes haemorrhage, surgery is usually needed (salpingostomy or salpingectomy).
Although surgery is a faster treatment but it could cause future pregnancy problems. Tubal surgery may damage
the Fallopian tube.
