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Abstract

Ectopic pregnancy

Ectopic pregnancy occurs in about 2% of all pregnancies potentially being a life-threatening disease. When a female patient shows symptoms like vaginal bleeding after a short period of amenorrhoea and abdominal pain, the examiner should always think of the possibility of an ectopic pregnancy. By performing a proper standard, using clinical examination technique, transvaginal ultrasound scan and measurement of serum hCG concentrations, the diagnostic procedure will correctly end up right soon. If there is no chance to visualize the pregnancy itself, serial measurement of serum hCG concentrations, and ultrasound examination within the discriminatory zone, will help to get the right diagnose. When finally an ectopic pregnancy has been found, the therapeutic management has to be chosen. Therefore the patient?s risks, the severity of the disease and the choice of the patient have to be evaluated for the best outcome.

CME Prakt Fortbild Gynakol Geburtsmed Gynakol Endokrinol 2016; 12(1): 72–84

Keywords
Ectopic pregnancy, life-threatening disease, serial hCG measurements, transvaginal scan, pregnancy of unknown location

Dietmar Stauffer, Horst Steiner, Gottfried Hasenöhrl
A. ö. Krankenhaus St. Josef Braunau, Braunau am Inn, Österreich
Reviewer: Matthias David, Berlin,
und Susanne Reuter, Hamburg

Stauffer D. Ektope … Gynakol Geburtsmed Gynakol Endokrinol 2016; 12(1): 72–84 publiziert 31.3.2016 www.akademos.de/gyn ©akademos Wissenschaftsverlag 2016 ISSN 1614-8533