A Female present with 8 week amenorrohea with pain left lower abdomen. On USG thick endometrium with mass in left adenexea diagnosis is: (AIIMS Nov. 2012)
|B||Torsion of dermoid cyst|
|C||Tubo ovarian mass|
a. The classic clinical trial of ectopic pregnancy is pain, amenorrhea, and vaginal bleeding; unfortunately, only about 50% of patients present with all 3 symptoms. About 40-50% of patients with an ectopic pregnancy present with vaginal bleeding, 50% have a palpable adnexal mass, and 75% may have abdominal tenderness.
b. Ultrasonography is probably the most important tool for diagnosing an extrauterine pregnancy, although it is more frequently used to confirm an intrauterine pregnancy.
Presumed ectopic pregnancy
a. An empty uterus on endovaginal ultrasonographic images in patients with a serum beta–human chorionic gonadotropin (β-HCG) level greater than the discriminatory cut-off value is an ectopic pregnancy until proven otherwise. An empty uterus may also represent a recent abortion.
b. Definite ectopic pregnancy
c. In the presence of a definite ectopic pregnancy, a thick, brightly echogenic, ringlike structure is located outside the uterus, with a gestational sac containing an obvious fetal pole, a yolk sac, or both.
d. The endometrium could be thick or show pseudo saC.
e. Extrauterine mass
f. The presence of a tender adnexal mass on ultrasonographic images suggests an ectopic pregnancy.
g. Amenorrhea will not be present in options b), c) & d).