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Chronic

Authoring team

Unruptured ectopic pregnancies are extremely variable in their presentation:

  • most patients are afebrile
  • abdominal pain is moderate, intermittent and usually unilateral
  • 90% have abdominal tenderness
  • pain on defaecation (due to blood in the pouch of Douglas)
  • positive rebound tenderness is uncommon
  • pelvic examination reveals a palpable adnexal mass in 50% of cases, in half of which, it occurs contralateral to the ectopic pregnancy, representing the corpus luteum
  • the uterus is usually soft and of normal size or only moderately enlarged

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