title: [Early diagnosis of ectopic pregnancy].
abstract: Ectopic pregnancy is a high-risk condition that occurs in 2% of reported pregnancies. This percentage is fivefold higher than that registered in the 1970s. Since 1970 there has been a two-fold increase in the ratio of ectopic pregnancies to all reported pregnancies in Hungary and in 2012 7.4 ectopic pregnancies per thousand registered pregnancies were reported. Recently, the majority (80%) of cases can be diagnosed in early stage, and the related mortality objectively decreased in the past few decades to 3.8/10,000 ectopic pregnancies. If a woman with positive pregnancy test has abdominal pain and/or vaginal bleeding the physician should perform a work-up to safely exclude the possibility of ectopic pregnancy. The basis of diagnosis is ultrasonography, especially vaginal ultrasound examination and measurement of the β-subunit of human chorionic gonadotropin. The ultrasound diagnosis is based on the visualization of an ectopic mass rather than the inability to visualize an intrauterine pregnancy. In some questionable cases the diagnostic uterine curettage or laparoscopy may be useful. The actuality of this topic is justified by practical difficulties in obtaining correct diagnosis, especially in the early gestational time.
authors.affiliation: Jahn Ferenc Dél-pesti Kórház és Rendelőintézet Szülészeti és Nőgyógyászati Osztály Budapest Köves u. 1. 1204.
authors.forename: Zoran
authors.initials: Z
authors.lastname: Belics
authors.affiliation: Jahn Ferenc Dél-pesti Kórház és Rendelőintézet Szülészeti és Nőgyógyászati Osztály Budapest Köves u. 1. 1204.
authors.forename: Balázs
authors.initials: B
authors.lastname: Gérecz
authors.affiliation: Jahn Ferenc Dél-pesti Kórház és Rendelőintézet Szülészeti és Nőgyógyászati Osztály Budapest Köves u. 1. 1204.
authors.forename: M György
authors.initials: MG
authors.lastname: Csákány
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology; D015415:Biomarkers / Q000097:blood; D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood*; D003937:Diagnosis, Differential; D004107:Dilatation and Curettage; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D015994:Incidence; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery; D012307:Risk Factors; D014463:Ultrasonography; D014592:Uterine Hemorrhage / Q000209:etiology
chemical_list: D015415:Biomarkers; D018997:Chorionic Gonadotropin, beta Subunit, Human
keywords: ectopic pregnancy; human chorionic gonadotropin (hCG); humán choriogonadotropin (hCG); méhen kívüli terhesség; ultrahang-diagnosztika; ultrasonography