Ruptured Ectopic Pregnancy: An Emergency Physician Perspective

Pannu AK* and Saroch A

Received: September 25, 2018;   Published: October 05, 2018

DOI: 10.26717/BJSTR.2018.09.001835

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Abstract

Early diagnosis of an ectopic pregnancy remains challenging in a medical emergency. Despite advances in diagnostic methods and management, ruptured ectopic pregnancy continues to cause 6% pregnancy related deaths, often because of failure to recognize the early signs and symptoms. The common teaching is that pregnancy should always remain in the list of clinical possibilities for abdominal pain in a woman of reproductive age. Moreover, acute abdomen in hemodynamically unstable young women with a history of one or two missed menstrual periods suggests a ruptured ectopic pregnancy. There is no substitute for a high index of clinical suspicion. Emergency physician should maintain a low threshold for diagnosing the condition, given its fatal outcomes.

Keywords:Pain abdomen; Shock; Ruptured Ectopic Pregnancy; Emergency Department

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