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ectopic pregnancy

Laboratory: - serum progesterone < 22 ng/mL in conjunction with elevated serum beta-choriogonadotropin [1] Special laboratory: - transvaginal ultrasound is the best diagnostic test for ectopic pregnancy [2] Management: - surgery: salpingectomy vs salpingotomy - salpingostomy is associated with greater likelihood of postoperative complications & does not confer an obvious advantage for future fertility [3]

Specific

lithopedion tubal ectopic pregnancy

General

pregnancy disorder; obstetric disorder; pregnancy complication

References

  1. Buckley RG et al. Serum progesterone testing to predict ectopic pregnancy in symptomatic first-trimester patients. Ann Emerg Med 2000 Aug 36 95-100 PMID: 109180993)
  2. Crochet JR et al. Does this woman have an ectopic pregnancy? The Rational Clinical Examination systematic review. JAMA 2013 Apr 24; 309:1722 PMID: 23613077
  3. Mol F et al. Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): An open-label, multicentre, randomised controlled trial. Lancet 2014 Feb 3 PMID: 24499812 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2960123-9/fulltext