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Retroperitoneal ectopic pregnancy: A literature review of reported cases
- Source :
- European journal of obstetrics, gynecology, and reproductive biology. 259
- Publication Year :
- 2021
-
Abstract
- To provide reference for the diagnosis and treatment of retroperitoneal ectopic pregnancy (REP), we conducted a review on all of the reported cases in English by summarizing their clinical manifestation, diagnosis, management and prognosis. A total of 25 literatures including 26 REP cases were collected from PubMed database. 40 % (10/25) of the patients had a history of tubal pregnancy, 65.4 % (17/26) was spontaneous pregnancy, and the average period of amenorrhea was 56.7 days. Abdominal pain is the most common (53.8 %, 14/26) symptom of REP. Ultrasound is the main method of diagnosing REP. Only 30.8 % (8/26) were diagnosed as REP at the initial visit, and 55.6 % (10/18) of those who were misdiagnosed received unnecessary invasive treatment. The pregnancy sites of REP are complex, and it can be simply divided into pelvic REP and abdominal REP. Due to preoperative misdiagnosis, 46.2 % (9/26) of REP experienced two or more treatments. Except for 2 patients who received local methotrexate (MTX) injection in the gestational sac, the other 24 patients underwent surgical treatment, and all patients had a good prognosis. Due to insufficient knowledge, the rate of misdiagnosis and mistreatment of REP is high. The key to diagnosing REP is to consider the possibility of REP and the scanning field during examination can cover the site of pregnancy. Local MTX injection and surgical resection are both effective methods for the treatment of REP.
- Subjects :
- Abdominal pain
medicine.medical_specialty
viruses
Gestational sac
Clinical manifestation
03 medical and health sciences
0302 clinical medicine
Pregnancy
Pregnancy, Abdominal
medicine
Humans
030212 general & internal medicine
Abortifacient Agents, Nonsteroidal
030219 obstetrics & reproductive medicine
Ectopic pregnancy
business.industry
Obstetrics and Gynecology
biochemical phenomena, metabolism, and nutrition
medicine.disease
Surgery
medicine.anatomical_structure
Methotrexate
Reproductive Medicine
Gestational Sac
Abdominal pregnancy
bacteria
Amenorrhea
Female
Pregnancy, Tubal
medicine.symptom
business
medicine.drug
Subjects
Details
- ISSN :
- 18727654
- Volume :
- 259
- Database :
- OpenAIRE
- Journal :
- European journal of obstetrics, gynecology, and reproductive biology
- Accession number :
- edsair.doi.dedup.....2e0866f6d93a7b76cfba10c91de6d8ba