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2015 ; 15
(4
): 151-4
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Analysis of ectopic pregnancies admitted to emergency department
#MMPMID27239617
Simsek Y
; Ay MO
Turk J Emerg Med
2015[Dec]; 15
(4
): 151-4
PMID27239617
show ga
OBJECTIVES: Ectopic pregnancy (EP) may cause significant morbidity and mortality.
In this study, we aimed to evaluate the demographic characteristics, presence of
risk factors and diagnostic parameters of the patient with EP and predicting
parameters for ruptured EP. METHODS: Patients who presented to emergency
department (ED) and diagnosed as EP within one year were included to the study.
The demographic characteristics, ?-human chorionic gonadotropin (?-HCG) levels,
transvaginal ultrasonography (TVUSG) findings, treatment protocols, pathology
reports and hemoglobin levels at the time of admission to ED were obtained from
patient files and hospital automation system and statistical analysis was
performed. RESULTS: Total 35 patients were included to the study. The mean age of
the patients was 30 ± 5.6 years. Among the patients, 46% had a history of
caesarean section (C-section). The complaints of the patients at presentation,
their age, gestational week and the ?-HCG levels were found to be inefficient in
predicting ruptured EPs. TVUSG was found statistically significant in terms of
demonstrating ruptures in EP. The ratio of salpingectomies was observed to be
higher in the surgical treatment of ruptured EPs. CONCLUSIONS: C-section was most
frequently seen with EP. There is no absolute diagnostic parameter for predicting
ruptured EPs and TVUSG may be a clue for diagnosis. The final diagnosis is made
through surgery.