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A retrospective study of 100 cases of ectopic pregnancy: clinical presentation, site of ectopic and diagnosis evaluation

Manthan Patel, Dolly Chavda, Shetal Prajapati.

Abstract
Background: Over the last few decades, the incidence of ectopic pregnancy has increased almost to the extent of an epidemic disease. Ectopic pregnancy is one of the commonest acute abdominal emergencies. Ectopic pregnancy remains the leading cause of maternal deaths in early pregnancy. The aim of the study was the clinical presentations, ultra sound features and diagnostic difficulties of all cases of ectopic pregnancy.
Methods: This is a retrospective study conducted at Government Medical College and Hospital, Rajkot from January 2013 to June 2016, in the three and half year study period, there were a total of 100 ectopic pregnancies.
Results: Most common symptom in our study was lower abdominal pain, in 90% cases. Amenorrhea was present in 100 cases, whereas vaginal bleeding in 48 cases. Nausea, vomiting observed in 26% of patients, cervical tenderness in 48%, and adnexal tenderness in 40% while shock was observed in 10% of patients.
Conclusions: Ampullary part of the fallopian tube is the most common site of ectopic pregnancy observed during our study. Complex adnexal mass was the most common finding on ultrasound. Surgical management by laparotomy and salpingectomy continues to be the preferred mode of management of ectopic pregnancy in our institution.

Key words: Complex adnexal mass, Ectopic pregnancy, Laparotomy


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