Ectopic pregnancy is one of the main gynecological pathologies that can cause the clinical picture of an acute abdomen. The incidence of ectopic pregnancy is increasing every year, especially in industrialized countries. After surgical interventions for ectopic pregnancy, infertility occurs in almost 80% of cases. But the timely recognition of an ectopic pregnancy and the correct provision of medical care will help preserve the reproductive function of a woman. In 99% of cases, tubal pregnancy occurs. By what symptoms can it be recognized - says estet-portal.com.

Signs of tubal pregnancy: pain and bleeding

The main cause of tubal pregnancy is inflammatory processes of the uterine appendages, leading to the occurrence of adhesions and the formation of obstruction in them. By localization, tubal pregnancy can be interstitial, isthmic, ampullar and fimbriae. Most often, the fetal egg develops in the ampulla of the fallopian tube. The most typical outcome of a tubal pregnancy is its termination at 4-8 weeks of gestation, which may result in a tubal abortion or rupture of the fallopian tube.

Tubal pregnancy:

  • how can a progressive tubal pregnancy manifest itself;
  • what symptoms will indicate the occurrence of a tubal abortion;
  • clinical presentation of fallopian tube rupture.

How can a progressive tubal pregnancy manifest itself

Progressive tubal pregnancy is a pregnancy that develops in the lumen of the fallopian tube. A feature of such a tubal pregnancy is that it is quite difficult to recognize it in the early stages, since exactly the same changes occur in the woman's body as in a normal uterine pregnancy. There are presumptive signs of pregnancy, such as nausea, vomiting, weakness and drowsiness, and probable ones - breast engorgement, a positive pregnancy test, and so on. In women with advanced tubal pregnancy, there may be no delay in menstruation, and menstrual flow may be very scarce. That is why it is extremely rare to diagnose a progressive tubal pregnancy in the early stages.

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What are the symptoms of a tubal abortion

Tubal abortion is a disorder of tubal pregnancy that can have a very variable clinical presentation. In some patients, the symptoms of a tubal abortion may not occur at all or appear to a slight extent. With a tubal abortion, there is not always a delay in menstruation, pain in the lower abdomen, or bloody discharge from the genitals. Signs of pregnancy in patients with tubal abortion may also be absent. In some cases, internal bleeding may occur during a tubal abortion, which is often also quite difficult to recognize.

Clinical presentation of fallopian tube rupture

Rupture of the fallopian tube occurs in 30% of tubal pregnancies, and is an extremely dangerous condition that threatens the life of the patient. Fallopian tube rupture occurs acutely and is manifested by the following symptoms, which are due to the occurrence of acute bleeding into the abdominal cavity:

  • a sharp decrease in blood pressure and anemia;
  • dizziness;
  • fainting;
  • peritoneal shock;
  • a sharp pain attack, while the pain is quite intense and can radiate to the hypochondrium, interscapular region and collarbone;
  • massive blood loss and hemorrhagic shock occurs in 10% of cases.

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