Ectopic Pregnancy – Zygote implantation in locations other than the uterine lining, typically the...
Ectopic Pregnancy – Zygote implantation in locations other than the uterine lining, typically the fallopian tube.
by Addams Samuel
1. Ectopic Pregnancy of the fallopian tube most common
1.1. Cervical or ovarian pregnancies are also possible
1.2. Implantation in peritoneal cavity is uncommon by possible
2. Risk Factors/Etiology
2.1. Blockages
2.1.1. Inflammation and/or infection
2.1.2. Deformity in tube
2.1.3. Torsion or kink in fallopian tube
2.2. Motility issues
2.2.1. Low estrogen - low fallopian cilia motility
2.3. History of previous ectopic pregnancies
2.4. Smoking
3. Treatments
3.1. Surgical removal of embryo and surrounding tissues
3.1.1. Salpingostomy - opening of Fallopian tube and removal of ectopic growth
3.1.2. Salpingectomy - removal of section of fallopian tube w/ectopic growth. Tube may or may not be reconnected
3.2. Methotrexate
3.3. Rhogam may be used if patient is Rh negative
4. Pathophysiology
4.1. Zygote implanted in fallopian tube
4.1.1. Enlargement of implanted ovum
4.1.1.1. Ovum rupture
4.1.1.1.1. Internal bleeding
4.1.1.1.2. Shock
5. Common presentation
5.1. Pain
5.1.1. Abdominal
5.1.2. Shoulder
5.1.3. Severe cramping
5.1.4. Lower back
5.2. Vaginal bleeding
5.3. Early S/S of pregnancy
5.3.1. Breast tenderness
5.3.2. Nausea
5.3.3. Missed period