Variance in clinical presentation of Ectopic pregnancy
Areeba Aftab, Memoona Faiyaz, Uzma Fahim, Humaira Tabassum, Saima Rafique, Aasma Hanif
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ABSTRACT
Objective: To
adjudge the prevalence of distinct presentations in ectopic pregnancy.
Research
Design: Descriptive cross-sectional.
Place and
Duration of Study: Emergency
Labour Ward Department of Obstetrics & Gynecology, Nishtar Hospital Multan
from 1.07.2017 to 31.12.2017.
Methodology: Ninety five patients having positive pregnancy tests and uterine cavity with no
intrauterine gestational sac on ultrasound were included. Clinical presentation
like amenorrhea, vaginal bleeding, acute abdomen, shock or asymptomatic were
assessed.
Results: Amenorrhea
observed in 73(76.8%) women, vaginal bleeding was seen in 32 (33.7%) women, 88
(92.6%) patients presented with acute abdomen and vitals instability was seen
in 8 (8.4%) patients and 6(6.3%) patients were without symptoms.
Conclusion: The
two most common clinical presentations in patients included in study were
amenorrhea and acute abdomen. Thorough evaluation of the patients with
sub-acute or chronic presentation should be adopted to diagnose the cases of
ectopic pregnancy.
Key words: Ectopic
pregnancy; Clinical presentation; Variations