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Tubal Ectopic
Anne M. Kennedy, MD; Roya Sohaey, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Ectopic pregnancy (EP)
          • Synonyms

            • Tubal pregnancy
          • Definitions

            • Ectopic gestational sac (GS) developing in fallopian tube
              • Definite ectopic: Extrauterine GS with yolk sac ± embryo (± cardiac activity)
              • Probable ectopic: Heterogeneous adnexal mass or extrauterine sac-like structure

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    CLINICAL ISSUES

                    • Presentation

                      • Demographics

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Consider

                              • Image Interpretation Pearls

                                • Reporting Tips

                                  Selected References

                                  1. Frates MC et al: Adnexal sonographic findings in ectopic pregnancy and their correlation with tubal rupture and human chorionic gonadotropin levels. J Ultrasound Med. 33(4):697-703, 2014
                                  2. Ko JK et al: Time to revisit the human chorionic gonadotropin discriminatory level in the management of pregnancy of unknown location. J Ultrasound Med. 33(3):465-71, 2014
                                  3. Taheri M et al: A United Kingdom national survey of trends in ectopic pregnancy management. J Obstet Gynaecol. 34(6):508-11, 2014
                                  4. Wang M et al: Nonsurgical management of live tubal ectopic pregnancy by ultrasound-guided local injection and systemic methotrexate. J Minim Invasive Gynecol. 21(4):642-9, 2014
                                  5. Benson CB et al: Intrauterine fluid with ectopic pregnancy: a reappraisal. J Ultrasound Med. 32(3):389-93, 2013
                                  6. Rodrigues SP et al: Ectopic pregnancy: when is expectant management safe? Gynecol Surg. 9(4):421-426, 2012
                                  7. Barnhart K et al: Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome. Fertil Steril. 95(3):857-66, 2011
                                  8. Hoover KW et al: Trends in the diagnosis and treatment of ectopic pregnancy in the United States. Obstet Gynecol. 115(3):495-502, 2010
                                  9. Barnhart KT: Clinical practice. Ectopic pregnancy. N Engl J Med. 361(4):379-87, 2009
                                  10. Krag Moeller LB et al: Success and spontaneous pregnancy rates following systemic methotrexate versus laparoscopic surgery for tubal pregnancies: a randomized trial. Acta Obstet Gynecol Scand. 88(12):1331-7, 2009
                                  11. Blaivas M et al: Reliability of adnexal mass mobility in distinguishing possible ectopic pregnancy from corpus luteum cysts. J Ultrasound Med. 24(5):599-603; quiz 605, 2005
                                  12. Condous G et al: The accuracy of transvaginal ultrasonography for the diagnosis of ectopic pregnancy prior to surgery. Hum Reprod. 20(5):1404-9, 2005
                                  13. Monteagudo A et al: Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series. Ultrasound Obstet Gynecol. 25(3):282-8, 2005
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Clinical Issues

                                        • Diagnostic Checklist

                                          TERMINOLOGY

                                          • Abbreviations

                                            • Ectopic pregnancy (EP)
                                          • Synonyms

                                            • Tubal pregnancy
                                          • Definitions

                                            • Ectopic gestational sac (GS) developing in fallopian tube
                                              • Definite ectopic: Extrauterine GS with yolk sac ± embryo (± cardiac activity)
                                              • Probable ectopic: Heterogeneous adnexal mass or extrauterine sac-like structure

                                          IMAGING

                                          • General Features

                                            • Ultrasonographic Findings

                                              • Imaging Recommendations

                                                DIFFERENTIAL DIAGNOSIS

                                                  PATHOLOGY

                                                  • General Features

                                                    CLINICAL ISSUES

                                                    • Presentation

                                                      • Demographics

                                                        • Natural History & Prognosis

                                                          • Treatment

                                                            DIAGNOSTIC CHECKLIST

                                                            • Consider

                                                              • Image Interpretation Pearls

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Frates MC et al: Adnexal sonographic findings in ectopic pregnancy and their correlation with tubal rupture and human chorionic gonadotropin levels. J Ultrasound Med. 33(4):697-703, 2014
                                                                  2. Ko JK et al: Time to revisit the human chorionic gonadotropin discriminatory level in the management of pregnancy of unknown location. J Ultrasound Med. 33(3):465-71, 2014
                                                                  3. Taheri M et al: A United Kingdom national survey of trends in ectopic pregnancy management. J Obstet Gynaecol. 34(6):508-11, 2014
                                                                  4. Wang M et al: Nonsurgical management of live tubal ectopic pregnancy by ultrasound-guided local injection and systemic methotrexate. J Minim Invasive Gynecol. 21(4):642-9, 2014
                                                                  5. Benson CB et al: Intrauterine fluid with ectopic pregnancy: a reappraisal. J Ultrasound Med. 32(3):389-93, 2013
                                                                  6. Rodrigues SP et al: Ectopic pregnancy: when is expectant management safe? Gynecol Surg. 9(4):421-426, 2012
                                                                  7. Barnhart K et al: Pregnancy of unknown location: a consensus statement of nomenclature, definitions, and outcome. Fertil Steril. 95(3):857-66, 2011
                                                                  8. Hoover KW et al: Trends in the diagnosis and treatment of ectopic pregnancy in the United States. Obstet Gynecol. 115(3):495-502, 2010
                                                                  9. Barnhart KT: Clinical practice. Ectopic pregnancy. N Engl J Med. 361(4):379-87, 2009
                                                                  10. Krag Moeller LB et al: Success and spontaneous pregnancy rates following systemic methotrexate versus laparoscopic surgery for tubal pregnancies: a randomized trial. Acta Obstet Gynecol Scand. 88(12):1331-7, 2009
                                                                  11. Blaivas M et al: Reliability of adnexal mass mobility in distinguishing possible ectopic pregnancy from corpus luteum cysts. J Ultrasound Med. 24(5):599-603; quiz 605, 2005
                                                                  12. Condous G et al: The accuracy of transvaginal ultrasonography for the diagnosis of ectopic pregnancy prior to surgery. Hum Reprod. 20(5):1404-9, 2005
                                                                  13. Monteagudo A et al: Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series. Ultrasound Obstet Gynecol. 25(3):282-8, 2005