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Doc2378 Forum Guru Topics: 46 Posts: 678	Nov 25, 2005 - 11:42 PM       #1 Most ectopic pregnancies are located in the fallopian tube. The most common site is the ampullary portion of the tube, where over 80% occur. I am not sure if you are asking about the location of an abdominal ectopic in presence of a free fluid in abdomen (??)...how about right lower quadrant of abdomen......logic being, that any free fluid should be located in the most dependent part...the pouch of Douglas (unless the fluid itself is due to a ruptured tubal ectopic!???!) .....ofcourse, I am not sure if this is indeed the right answer... Anyone? Edited by Doc2378 on Nov 26, 2005 - 12:12 AM
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aonty Forum Elite Topics: 41 Posts: 205	Nov 26, 2005 - 6:12 AM       #2 ectopic pregnancy most common site ampullary part of the fallopian tube symptoms sudden abdominal pain last mensus 60 days ago or more intraperitonial blood in culdocentesis and positive hcg test
ALFA Forum Senior Topics: 9 Posts: 87	Nov 26, 2005 - 6:16 AM       #3 first of all:talking about RUPTURED or PROGRESSING ectopic pregnancy? I suspect, ruptured, considering free fluid. MOST PROBABLE implantation is always fallopian tube.
sturge_weber Forum Guru Topics: 77 Posts: 1034	Nov 26, 2005 - 6:54 PM       #4 can u please reframe the question, did they tell she was pregnant, if yes did they ask the most common site of ectopic, or the mostcommon site where the fluid was found
vic2005 Forum Senior Topics: 32 Posts: 81	Nov 26, 2005 - 9:29 PM       #5 another thing , it was for sure a case of pregnancy because her period was 12 weeks ago and her HCG was very high .
GMOB Forum Elite Topics: 27 Posts: 277	Nov 27, 2005 - 4:33 AM       #6 I would think the site of implantation was abdominal cavity, the most probable place would be Douglas pouch, if she had a ruptured ectopic pregnancy in fallopian tube she would definitely not be stable...
ALFA Forum Senior Topics: 9 Posts: 87	Nov 27, 2005 - 7:29 AM       #7 "IN THIS CASE"-is a distractor. Most probable location for ectopic pregnancy is always fallopian tube. If there's is fluid in peritoneal cavity, it always collects in Douglas pouch. This fluid also indicates(and gives you idea) that there was ruptured ectopic pregnancy. And this fluid is most likely blood. About whether she was stable-it could be, it means her condition does not deteriorate since she was admitted to the hospital. So, you made the right choice. Not likely they would ask about abdominal site of implantation, which is extremely rare, on step 1.
vic2005 Forum Senior Topics: 32 Posts: 81	Nov 27, 2005 - 8:53 AM       #8 Thank you guys for the discussion .
sturge_weber Forum Guru Topics: 77 Posts: 1034	Nov 27, 2005 - 2:14 PM       #9 well i too think the answer was ruptured ectopic, in fallopian tube, and the cul de sac findings could be still be stable if the rupture was very recent so i would go for an ectopic fallopian tube

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