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Diagnostic Imaging Pathways - Suspected Ectopic Pregnancy

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Teaching Points

  • Transvaginal and abdominal US combined with the measurement of serum β-hCG are the investigations of choice for suspected ectopic pregnancy
  • In a small proportion of cases the TVUS may be non-diagnostic. Follow up of these patients is dependant on the value of the quantitative β-hCG -
    • A β-hCG > 1500 IU should proceed to laparoscopy
    • A β-hCG < 1500 IU should be repeated in 48hrs if the patient is clinically stable, expecting a rise of > 66%.
  • A normal US does not exclude an ectopic pregnancy

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