There are no items in your cart
Add More
Add More
| Item Details | Price | ||
|---|---|---|---|
Definition
Ectopic Pregnancy (EP) refers to a situation where the embryo attaches itself outside the usual uterine cavity. Imagine a GPS mishap—rather than settling into the welcoming endometrium, the embryo veers off course and lands in perilous territory
Why Is This Important?
Because it’s a serious threat.
| Category
| Examples
|
| TUBAL DAMAGE | Pelvic inflammatory disease (PID), Tubal surgeries, Previous ectopic pregnancies
|
| HORMONAL ISSUES | Assisted Reproductive Technology (ART), Ovulation induction methods
|
| STRUCTURAL ABNORMALITIES | Uterine anomalies, Endometriosis, Use of intrauterine contraceptive devices (IUCD)
|
| LIFESTYLE & MISCELLANEOUS | Smoking, Age over 35, History of ectopic pregnancy
|
| LIFESTYLE & MISCELLANEOUS | Smoking, Age over 35, History of ectopic pregnancy |
Clinical Insight: Even in the absence of known risk factors, ectopic pregnancy remains a possibility—always maintain a vigilant mindset!
CLASSIFICATION – WHERE DID THE EMBRYO END UP?
Types of Ectopic Pregnancy
| Type | Location | % of Cases | Danger Level |
| Tubal | In the fallopian tube (Ampulla, Isthmus, Interstitial) | ~93% | High |
| Ovarian | Situated within the ovary | Rare (~0.5%) | Moderate |
| Abdominal | In the peritoneal cavity | Extremely rare | High (Risk of placental attachment!) |
| Cervical | Located in the cervix | <1% | High (Significant bleeding risk) |
| Cesarean Scar Pregnancy (CSP) | At the site of a C-section scar | Increasing incidence due to more C-sections | High (Rupture & Placenta Accreta Spectrum risk!) |
DIAGNOSIS – ULTRASOUND TO THE RESCUE.
Step 1: Address These Two Questions
Q1: Is there an intrauterine pregnancy (IUP)?
Q2: If not, where is the pregnancy located?
If There’s No IUP, Here’s What to Look For:
| Finding | Interpretation |
| Empty uterus + β-hCG >2000 IU/L | Suspicious for ectopic! |
| Adnexal mass with a yolk sac or fetal pole | Confirmed ectopic pregnancy |
| Adnexal mass without yolk sac | Likely ectopic pregnancy |
| Free fluid in Morrison’s Pouch | Possible rupture! Act swiftly |
Ultrasound Indicators That Showcase Your Expertise
| Indicator | Interpretation | Observed In? |
| Tubal Ring Sign | Thick echogenic ring encircling mass | Tubal Ectopic |
| Ring of Fire | Increased vascularity on Doppler imaging | Corpus Luteum OR Ectopic |
| Sliding Sign | If it shifts, it signals a miscarriage | Cervical vs. Impending Abortion distinction |
| Interstitial Line Sign | Echogenic line extending from uterus to sac | Interstitial Ectopic! 🚨 |
| Bagel Sign | Hyperechoic ring surrounding sac | Ovarian Ectopic 🍩 |
| Option | Indication for Use? |
| Methotrexate (MTX) | Stable, unruptured, with β-hCG <5000 |
| Laparoscopic Surgery | Hemodynamically unstable or ruptured cases |
| Expectant Management | β-hCG levels declining without cardiac activity |
Launch your Graphy