[Pregnancy of unknown location].

Abstract

BACKGROUND:

A pregnancy of unknown location is a descriptive term that can be defined after performing trans vaginal ultrasound. This situation includes patients with a positive pregnancy test but with no evidence of intra or extra uterine pregnancy on transvaginal sonography.

AIM:

To discuss different aspects of management of women with pregnancy of unknown location.

METHODS:

Review of the literature.

RESULTS:

Serum human chorionic gonadotrophin levels, progesterone levels and mathematical models are helpful in the prediction of final outcome of pregnancy: intra uterine pregnancy, ectopic pregnancy, spontaneous resolution or persistent pregnancy of unknown location. Active expectant management of asymptomatic women with a pregnancy of unknown location has been shown to be safe.

CONCLUSION:

Surgical intervention (diagnostic laparoscopy and uterine curettage) to diagnose the location of the pregnancy should be restrictive.

• Authors: Monia Malek-Mellouli, Fethi Ben Amara, Hedi Reziga
• Journal: La Tunisie medicale (Tunis Med) Vol. 90 Issue 11 Pg. 764-73 (Nov 2012) ISSN: 0041-4131 [Print] Tunisia
• Vernacular Title: Les grossesses jeunes de localisation indéterminée
• PMID: 23197052 (Publication Type: English Abstract, Journal Article, Review)

Topics

• Algorithms
• Diagnosis, Differential
• Early Diagnosis
• Female
• Gestational Age
• Humans
• Pregnancy
• Pregnancy, Ectopic (diagnosis, epidemiology, etiology, therapy)
• Prevalence
• Prognosis