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Year : 2021  |  Volume : 10  |  Issue : 3  |  Page : 158-163

Ectopic pregnancy: “THE MASQUERADER” -A challenge to medical fraternity

Department of obstetrics and Gynaecology, Dr. Pinnamaneni Institute of Medical Sciences and Research Foundation, Chinoutpally, Vijayawada, Andhra Pradesh, India

Correspondence Address:
Dr. Kavitha Garikapati
Department of Obstetrics and Gynaecology, Dr. Pinnamaneni Institute of Medical Sciences, Chinoutpally, Vijayawada, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jdrntruhs.jdrntruhs_45_21

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Background: Ectopic pregnancy is a medical emergency with incidence of about 1-2% of all reported pregnancies and is termed as a ''Masquerader'' due to variable presentation. Aims and Objectives: To study ectopic pregnancy cases with atypical presentation, diagnosis initially missed by attending physician. Objectives are to study the prevalence of ectopic pregnancies, variable presentations and outcome. Methods: It is a retrospective observational study done in the department of obstetrics and gynaecology of a rural tertiary centre for a period of four years (January 2016- January 2020). Study population is 36. Results are analysed by descriptive analysis. Results: Out of 5400 deliveries, 100 were ectopic pregnancies (2%) of which 36 cases presented with atypical presentation (36%). Two (5.5%) with heavy menstrual bleeding with severe anaemia, two (5.5%) with pain abdomen and distension, six (16.7%) with myalgia, six (16.7%) pain abdomen with normal cycles, six (16.7%) pain abdomen with spotting per vagina (p/v) on and off, four (11.1%) Intrauterine contraceptive device (IUCD) insitu, five (13.9%) chronic pelvic inflammatory disease (PID), four (11.1%) fainting attack with no missed period, one (2.8%) bad obstetric history, recurrent tubal ectopic with pregnancy of unknown location (PUL).

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