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INCIDENCE, RISK FACTORS

1/2500 TO 1/10000 pregnance!

R!"# IVF$ET# 1/1000

Cer%ca& 'ra()a* +2/ -a. c(re''age rC/S

En.)e'ra& a&a'n

ICD 'erne an. cer%ca& )a&3r)a'n!

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PAT4OGENESIS*

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LTRASOND

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LTRASOND DG< CRITERIA

Ge!'a'na& !ac e&= ('erne ar'er9n!er'n/n'erna& !

In'ac' cer%ca& cana& e'=eenen.)e'r() > !ac

C&!e. n'erna& !

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CERVICAL PREGNANCY ORA?ORTION IN T@O STEPS*

Cervical pregnancy Cervical abortion

Fe'a& -ear' ea' O3'en pre!en' A!en'

'erne 3(n.(! S)a&& -(rg&a!! En&arge. g&(&ar

!-ape. ('er(!B

Endometrium Regular echogenic Mixed echogenic massdecidua/pseudosac

Internal os Closed Open

In'ac' cer%ca& cana& Pre!en' A!en'

e'=een en.)e'r()

an. !ac

Sac appearance ='- R(n. an. (nc-ange. Increa!e. cren(&a'n/ repea'e.!cannng.!'r'n

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EDICAL ANAGEENT

e''re8a'e %ar< .!age!,

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EDICAL ANAGEENT

R!" 3ac'r! 3 3a&(re 3 T#

?e'a$4CG J 10,000 )I/)&

GA J =ee"!

4ear' ac'%'9 pre!en'

CRL 10 ))

KC& )pr%e! ('c)e n ca!e! a%e'-e!e &)'!

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4ETEROTOPICPREGNANCYM

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ECTOPIC IN C/S SCARL'=c"a K, Er)an G 2011

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GENERAL

1#100 TO 1#221H re 3re(en''-an CPQQQ

R!" 3ac'r!#re '-an ne CS

CS n n!(cen'&9 3r)e. !eg)en' +e

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LAPAROTOY AND @EDGERESECTION

S&e

rec))en.e. apprac-

=-en

r(p'(re.Q

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EPECTANT ANAGEENT

Arg()en'!# S)e pregnance! e%&%e '=ar.! '-e

('erne ca%'9

O'-er=!e '-e9 are :na'(ra&&9 .e)!e.;

NOT RECOENDED#

TERINE RPTREQ

+A' )!'# .e&%er 9 CS a' 2$0 ="! a3'er !'er.!

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EDICAL TREATENT

OVERARC4ING INDICATIONS#

@-en a.%ance. gr='- '=ar.!&a..er

+ 2)) e'=een pregnanc9 an.&a..er

="! ge!'a'n

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EDICAL TREATENT

SYSTEIC ETOT4REATE

?e!' re!pn!e =-en 4CG 5000 I/.&

50 !(cce!! ='- T n&9

A..'na& '-erap9# A.. .!e! 3 T, )a9e n ge!'< !ac

D>C 'erne ar'er9 e)&a'n +AE

49!'erec')9

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SRGICAL TREATENT+NOT RPTRED

4YSTEROSCOPY

A.%an'age!#

S-r' pera'%e ')e# H )n a%erage L''&e &. &!! +cag(&a'n# 50 )&

a%g