First Trimester Tubal Ectopic Pregnancy
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Abstract
About 1% of pregnancies is in an ectopic location with implantation not occurring inside of the womb, and of these 98% occurs in the Fallopian tubes. However, implantation can also occur in the cervix, ovaries, and abdomen. Ultrasound scan was performed on a 19-year-old nulliparous female at the Ultrasound Unit of Crystal Specialist Hospital, Lagos, Nigeria. The patient had complained of abdominal pain and vaginal bleeding. Transabdominal scan revealed an empty uterus and extra-uterine embryo implanted in the right adnexa. The fetal pole had a crown-rump-length (CRL) of 13 mm and the gestational age (GA) was 7 weeks 4 days; expected date of delivery (EDD) was 04/03/14. Ectopic pregnancies are usually associated with maternal morbidity and mortality resulting from complications. This case highlights the importance of ultrasound sonography in obstetrics and its adjunct purpose in the preoperative diagnosis and management of ectopic pregnancy.
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