ectopic pregnancy

Ectopic pregnancy

This is a development of the fetus outside the uterine cavity and may include different places in the body (eg, ovarian). Other potential sites for embryo implantation are ovary, peritoneal cavity and organs contained in it, cervix. Most concerns young women. Possible causes are associated with abnormalities around fallopian tubes (adhesions around folds of the mucous membrane, mucosal defects after blennorrheal infection, tubal wall recesses, the growth of endometrial implants, tubal motility disorder, the presence of intra uterine device during pregnancy).

The prognosis is good for the mother, the fetus in most cases is not capable of survival outside the woman's body. Termination of pregnancy followed by abortion or tubal rupture. Factors predisposing to the disease:

• inflammation of pelvic organs;

• tubal and ovarian surgery;

• sexually transmitted diseases (especially chlamydia and

• intrauterine devices;

• techniques of assisted reproduction


Depending on location and potential pathogenesis, we distinguish several types of diseases:

a) tubal pregnancy - the fetus develops in the fallopian tube;

b) abdominal pregnancy - can affect every organ in the
peritoneal cavity;

c) cervical pregnancy - a potentially life-threatening (risk of major bleeding);

d) ovarian pregnancy - occurs most often between 35 and 40 years of age.


Depending on the severity of ectopic pregnancy:

a) lack of clinical symptoms and the inability to distinguish
ectopic pregnancy from normal;

b) stage of bleeding and spotting (death of the embryo);

c) stage of peritoneal irritation (pain, fainting, bloody spitting );

d) stage of ruptures (in the case of fallopian tube) - symptoms of shock.


This is a multistep process and it includes:

a) clinical history;

b) the concentration of human chorionic gonadotropin (its growth usually suggests the presence of a developing fetus);

c) in special cases, exploratory laparoscopy was performed.


Depending on the particular clinical situation there are three possible procedures - observation, pharmacotherapy of methotrexate, surgical treatment (laparotomy - after opening the abdominal cavity following removal of the affected fallopian tube).

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Left Adnexal Ectopic Pregnancy

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Surgical video case: laparoscopic excision of left adnexal ectopic pregnancy. Chronic disturbed EP with excessive vascularility in left adnexal compartment.

Laproscopic Scar Ectopic Pregnancy Removal

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Surgical video case: laproscopic scar ectopic pregnancy removal.  

Post Hysterectomy Ectopic Pregnancy

Kunal Rathod

Specialty:  Gynecology
views: 3320 comments: 4

Surgical video case: so rare to have ectopic pregnancy after subtotal hysterectomy. A regular practice to remove tubes during hysterectomy should be performed.

Ring Of Fire Sign

Specialty:  Gynecology
views: 2615 comments: 0

The Video is about the sign "Ring of Fire" appearance of an adnexal mass in the ultrasound of a female pelvis. The ring of fire sign, also known as ring of vascularity, signifies a hypervascular lesion...

Laparoscopic Surgery for Chronic Ectopic Pregnancy

Dr R K Mishra

Specialty:  Gynecology
views: 1537 comments: 0

This video demonstrates laparoscopic surgery for chronic ectopic pregnancy at World Laparoscopy Hospital. Laparoscopy has been used in the diagnosis of ectopic pregnancy for many years. Since the first...

Ovarian Ectopic Pregnancy

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Laparscopic treatment of ovarian ectopic pregnancy which confirmed later with histopathology.   

Laparoscopic Tubal Milking for Distal Ectopic...

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Video case: laparoscopic tubal milking for distal ectopic pregnancy.

Tubal Ring Sign

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Tubal ring sign also referred to as bagel sign or blob sign, is one of the ultrasound signs of a tubal ectopic. It comprises an echogenic ring that surrounds an unruptured ectopic pregnancy. It is said...

Laparoscopic Salpingectomy for Ectopic Pregnancy

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Video case: laparoscopic salpingectomy for ectopic pregnancy and sample retrieval with home made bag using a glove.

TLH in Case of Scar Ectopic Pregnancy

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Video demonstration: TLH in case of scar ectopic pregnancy.

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