CMAJ • October 11, 2005; 173 (8). doi:10.1503/cmaj.050222.
© 2005 CMA Media Inc. or its licensors
All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.
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Right arrow Pregnancy

Diagnosis and treatment of ectopic pregnancy

Heather Murray, Hanadi Baakdah, Trevor Bardell and Togas Tulandi

From the Departments of Emergency Medicine (Murray) and Surgery (Bardell), Queen's University, Kingston, Ont., and the Department of Obstetrics and Gynecology, McGill University, Montréal, Que. (Baakdah, Tulandi)


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  		Fig. 1: Transvaginal ultrasound image, showing intrauterine fluid collection without yolk sac or fetal pole: "pseudogestational sac" (arrow).

 


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  		Fig. 2: Transvaginal ultrasound image, showing early intrauterine gestational sac (GS) with yolk sac (YS).

 


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  		Fig. 3: Transvaginal ultrasound image, showing empty uterus and complex adnexal mass (ectopic pregnancy [EP]) separate from ovary.

 


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  		Fig. 4: Recommended approach to investigating first-trimester pain or bleeding in the hemodynamically stable patient in the emergency department (ED). ß-hCG = ß human chorionic gonadotropin, US = ultrasonography, IUP = intrauterine pregnancy, EP = ectopic pregnancy.

 


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  		Table 4.