THE CONFUSING PRESENTATIONS AND FACES OF ECTOPIC PREGNANCY IN CONCORDANCE WITH DIAGNOSTIC MODALITIES IN A TERTIARY CARE HOSPITAL IN NORTH EASTERN SECTOR OF INDIA - A STUDY OF 2 YEARS PERIOD

Year 2019, Volume: 2 Issue: 2, 20 - 24, 31.12.2019

Dr Ragini Thapa , Sinam Tombi Meetei Talitha Talitha

Abstract

Background: The study was taken up to know the about the
various diagnostic criteria used for ectopic pregnancy.

Methods: This  study
included seventy patients diagnosed as ectopic pregnancy. Clinical signs, symptoms
and physical findings were recorded. Urine pregnancy test, serum β hCG and
abdominal ultrasound were the main diagnostic modalities. Findings at
laparoscopy and laparotomy were analysed.

Results: Majority of the women presented with abdominal
pain (90%) and amenorrhea (97.14%).Majority(82.84%) had amenorrhea ranging from
4 weeks or less to 8 weeks.  Cervical excitation
was positive in 64.28% and adenexal mass was palpable in 15.7%. Urine pregnancy
test and serum β  hCG  were positive in 82.8% and 95.2%. ,
respectively. Findings suggestive of ectopic were found in 81.42% on
transabdominal ultrasound exam. Twenty-five patients (35.6%) underwent
diagnostic laparoscopy while 98.5% underwent laparotomy.

Conclusion: Availability of sensitive and specific radio-immunoassays
of β-human chorionic gonadotrophin (β-hCG) and high resolution transvaginal
ultrasound (TVS) allows early detection of ectopic pregnancies 

Key Words: Ectopic pregnancy , Serum  β- hCG,Laporoscopy 

Keywords

Ectopic pregnancy, Serum β- hCG

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