Ectopic pregnancy is detectable by ultrasound

Proof GEU is often difficult and time-consuming, since by far not in all cases, ectopic pregnancy detectable by ultrasound. An ultrasound can often describe only indirect signs GEU (higher endometrium, free fluid in the uterus) to diagnosis based on a series of ultrasound examinations and blood (the level of the beta subunit of human chorionic gonadotropin - hCG). The gold standard in the diagnosis and treatment of GEU is a laparoscopy, but although it is a performance mini-invasive, still operating with certain risks and complications. It is therefore important to indicate it judiciously.

Laparoscopy allows the detection or exclusion of ectopic pregnancy, its location and the surrounding examinations, particularly reproductive organs (state unaffected oviduct for further progress and prognosis of patients very significantly). Of course then allow the surgical removal of an ectopic pregnancy. Drug treatment GEU (local in laparoscopy or systemic injection) is possible - used chemotherapeutic agent methotrexate - but for its possible side effects, uncertain effect and time-consuming in our conditions rarely used. Classic open (laparotomy) approach to pregnancy is now used only rarely, mostly in peracute cases, accompanied by a large intra-abdominal bleeding and shock.

If we ignore the unique localization of an ectopic pregnancy, the standard surgical treatment of tubal pregnancy salpingotomie (longitudinally opposite fallopian tube) followed by aspiration of the product concept (fallopian tube usually leaves no sutures to heal spontaneously) or salpingectomy (removal of the fallopian tube including GEU).

 This free review posted by Jhon Albert best friend of Joey Atlas  

http://joeyatlastruthaboutcellulite.blogspot.com/

Cases of ectopic pregnancy on the ovary

GEU is most often located in the uterine tube or fallopian tube - tubal pregnancy. Cases of ectopic pregnancy on the ovary, peritoneum, omentum or the negative instead of the uterus (the place where the fallopian tube passes through the corner of cervical musculature - the uterine horn pregnancy, or uterine neck - cervical pregnancy) are very rare. Even rarer are the cases of heterotopic pregnancy, when the next ectopic pregnancy and pregnancy coexist simultaneously stored normally, that is in the uterine cavity. Heterotopic pregnancy occurs almost exclusively after in vitro fertilization (IVF).

The clinical course of ectopic pregnancy can be very different, sometimes subtle, insidious, sometimes sudden and dramatic. I now belong to the GEU diagnosis, which can be very dangerous for the patient. When rupture and bleeding of the fallopian tube within a few minutes to create a hidden intra-abdominal hemorrhage in the range of several liters (hemoperitoneum), which can quickly bring a woman into shock and unconsciousness, which, unless rapid and adequate intervention can result in death pregnant. On the other hand, in other cases, there may not be significant and GEU symptoms may resolve spontaneously fetal resorption egg in the fallopian tube or the peritoneum (in the so-called tubal abortion). In the classic, textbook during GEU include the omission of menses, positive gravitest, spotting, lower abdominal aches (not always present) and negative ultrasound findings in the uterine cavity presence of pregnancy in the uterus.