The ectopic pregnancy is an obstetric emergency that needs to early diagnose and timely treat. The ectopic pregnancy can be found in the ovary, ovary tube or abdomen. The ultrasound can be implemented without needing the full urine in the gallbladder, even the uterine inclined toward the back. The results have shown that the fetal heart beat of 3/45 cases, blood aggregation in the ovary tube of 25/45 cases and fluid in the Douglas of 40/45 cases found by the ultrasound. The early diagnosis of the ectopic pregnancy can present the complication of intraabdominal bleeding from which it can be treated by endoscopy and without intervention of operation
Pregnancy, Ectopic ; diagnosis ; ultrasonography

In analyzing 45 cases of ectopic pregnancy lately diagnosed with serum  HCG determination, transvaginal ultrasonography, the mean time for laparoscopy and the average time of hospitalization were respectively 4,2+/-2,9 and 8,8 +/- 3,6 days. - Late menstruation took hold of 80% and vaginal bleeding at 70%. Pain of the hypogastrium spreading to the lower parts (73,3%) was a specific symptom (P< 0,01). More than a half (51,1%) of cases had the uterus greater than usual, however there were only 64,4% having a mass occurred in adnexa, but the painful culde-sac sign has a high value for diagnosis(51,1%). - The uterus ultrasonography image without gestation sac took holds high rate (82,2%) had a high value of diagnosis with a sensitivity of 82,2%. Adnexal mass occurred at 77,7%, while the sign of the cul-de-sac with liquid had a high value of diagnosis, with a sensitivity rate of 77,7%.- 36/45 of cases in with beta HCG >=1000 mIU/ml (80%). - 40% of cases were obligated to make laparotomy due to former operation and 55,6% of cases with tube cracked, ruptured or aborted through the pavilion which the rate of tube resection to 84,1%
Pregnancy, Ectopic ; diagnosis

During 1993-1995, there were 53/953 cases with the wrong diagnosis of ectopic pregnancy in the Institute of mother and children protection and care. in which delayed menstruation: 56,7%, bleeding: 5,6%, long bleeding with black blood: 62,3%, no bleeding: 37,7% abdominal pain: 88,7%, diffuse and dull pain: 53,2% severe pain: 49%, 37/56 cases were received the HCG test, the ovaritubal inflamatory: 62,3%, bleeding due to the ovarian cyst rupture: 17 cases in which 2 cases of wrong diagnosis of ectopic pregnancy and the rest were diagnosed the appendicitis ovarian cyst, the ovarian cyst rupture: 13/53; the cases with the abdominal blood (10-100ml): 31/56
Pregnancy, Ectopic ; diagnosis

A study on 120 persons with suspected ectopic pregnancy in the institute of mother and newborn protection and care showed that the early symptoms of ectopic pregnancy comprised bleeding early, timely or lately occurred comparing with the estimated menstrual date. Bleeding occurred as drops and blood was darker than menstrual blood. The full pain in the below of gastric region or lateral pelvic cavity indicated that the frequency of ectopic pregnancy was 2.34 times with sensitivity of 87.8% clinical examination included pain when uterus moving, swollen in vulva and unclear border.
Pregnancy, Ectopic ; diagnosis

816 cases of ectopic pregnancy in the Institute of Protection of Mother and Newborn from Jan 1999 to Dec 2002 were operated. Among them, 49% had a history of artificial abortion. Apart from other related factors such as the age, the frequency of delivery, gynecoobstetrical history, functional signs such as vaginal bleeding, which have suggesting value of ectopic pregnancy, the most indicating signs were abdomen pain and delayed menstrualation. 97% males are located in uterus neck duct. The rate of endoscopic surgery and the rate of conserved salpingo-uterine surgery were low
Pregnancy, Ectopic ; Pregnancy ; Diseases ; diagnosis

120 cases suspected of ectopic pregnancy (EP) were studied. Sonographic imaging gave early diagnosis: - No intrauterine gestation sac at βhCG serum ≥ 700mlU/ml was the valuable sign with sensitivity of 93,0% and a positive predictive value of 87,7% (p< 0,01) - Sonographic imaging with an adnexal mass has got a sensitivity of 72% and positive predictive value of 85,7% in early diagnosis - In combining 3 factors: the concentration of βhCG serum ≥ 700mlU/ml, no intrauterine gestation sac with an adnexal mass separated from the ovary, the value of early diagnosis of EP has got sensitivity of 80% and positive predictive value of 93% (P< 0,01)
Pregnancy, Ectopic ; Early Diagnosis ; Ultrasonography

A cross-sectional descriptive study on 120 patients suspected with ectopic pregnancy were conducted in the Institute of Protection of Mother and Newborns from Jan 1999 to Nov 2000. 83.3% (100 cases) have accurate diagnosis. Abnormal hemorrhage with dirty excretion mixed with blood was an sign of value, in 65% of patients there was a hypogastric pain, then located at the iliac hole. No amniotic sac in uterine cavity at the threshold of serum hCG  700mUI/ml. Laparoscopy and serum hCG quantifying were recommended for early diagnosing.
diagnosis ; Pregnancy, Ectopic ; Early Diagnosis ; pregnancy

No abstract available.
Diagnosis* ; Female ; Pregnancy ; Pregnancy, Ectopic* ; Ultrasonography*

A cross-sectional study was conducted on 120 patient with suspected ectopic pregnancy at the Institute of Mother and Newborn Protection from 1/1999 to 11/2000. Results: beta-HCG levels do not distribute consistently with standard rule, so they vary greatly. 63% of patients have beta-HCG level less than 1000mUI/ml. If clinical examination showed painful appendage or mass with beta-HCG level more than 25mUI/ml, the ectopic pregnancy should be suspected. For patients who have clinical symptoms suggested ectopic pregnancy, vaginal-probe ultrasound showed the empty uterine, there was separate mass in appendage and beta-HCG level of 700mUI/ml or more, laparoscopy should be indicated
Pregnancy, Ectopic ; diagnosis ; serum ; Chorionic Gonadotropin

Cornual pregnancy is very rare and its diagnosis is very difficult due to the distensibility of the uterus at the cornu. However, tender cystic enlargement at one horn of the uterus is suggestive of this type of ectopic gestation in this case. A case is reported of unruptured cornual pregnancy, diagnosed before operation, with a review of the literatures.
Adult ; Case Report ; Female ; Human ; Pregnancy ; Pregnancy, Ectopic/diagnosis* ; Pregnancy, Ectopic/surgery