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Review
. 2022 Sep;49(3):537-549.
doi: 10.1016/j.ogc.2022.02.018.

Ectopic Pregnancy

Shawna Tonick  1 , Christine Conageski  2
Affiliations
Review

Ectopic Pregnancy

Shawna Tonick et al. Obstet Gynecol Clin North Am. 2022 Sep.

Abstract

Ectopic pregnancy occurs in 2% of all pregnancies and is a potentially life-threatening emergency. A high level of clinical suspicion is required for any pregnant patient who presents with vaginal bleeding and/or pelvic pain. Workup should begin with immediate triage based on vital signs, a pregnancy test, and transvaginal ultrasound. Ectopic pregnancy can be treated either medically with methotrexate or surgically with either salpingectomy or salpingostomy. Carefully counseled, asymptomatic patients may be candidates for expectant management.

Keywords: Ectopic pregnancy; Methotrexate; Pregnancy of unknown location; Salpingectomy; Salpingostomy.

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