Five ectopic pregnancies

Once an ectopic pregnancy occurs, pregnant mothers need to know the specific cause in order to seek treatment. This is the only way to avoid a second ectopic pregnancy. If there are five ectopic pregnancies, pregnant mothers should undergo a thorough examination to determine whether there is any abnormality in the uterus. Because once five ectopic pregnancies occur, it largely indicates that the pregnant mother is not suitable for pregnancy.

Differential Diagnosis

1. Threatened abortion in early pregnancy

The abdominal pain of threatened abortion is generally mild, the size of the uterus is basically consistent with the month of pregnancy, the amount of vaginal bleeding is small, and there is no sign of internal bleeding. B-ultrasound can be used for identification.

2. Ovarian corpus luteum rupture and bleeding

Corpus luteum rupture often occurs during the luteal phase, or menstrual period. However, it is sometimes difficult to differentiate from ectopic pregnancy, especially in patients with no obvious history of amenorrhea and irregular vaginal bleeding. β-HCG is often required for diagnosis.

3. Ovarian cyst pedicle torsion

The patient has normal menstruation and no signs of internal bleeding. Generally, there is a history of adnexal mass and obvious tenderness at the cyst pedicle. The diagnosis can be confirmed by gynecological examination combined with B-ultrasound.

4. Rupture and bleeding of ovarian chocolate cyst

The patient has a history of endometriosis, which often occurs before or during menstruation. The pain is quite severe and may be accompanied by obvious anal swelling. The diagnosis can be confirmed by extracting chocolate-like fluid through puncture of the posterior vaginal fornix. If the rupture injures blood vessels, signs of internal bleeding may appear.

5. Acute pelvic inflammatory disease

In acute or subacute inflammation, there is generally no history of amenorrhea, abdominal pain is often accompanied by fever, blood count and erythrocyte sedimentation rate are often elevated, B-ultrasound can detect adnexal masses or pelvic effusion, and urine HCG can assist in diagnosis. Especially after anti-inflammatory treatment, inflammatory manifestations such as abdominal pain and fever can gradually alleviate or disappear.

6. Surgical conditions

Acute appendicitis often presents with obvious migratory right lower abdominal pain, often accompanied by fever, nausea, vomiting, and increased blood count. Ureteral stones cause colic pain on one side of the lower abdomen, accompanied by ipsilateral flank pain and hematuria. The diagnosis can be confirmed by combining ultrasound and X-ray examination.