Before miscarriage or rupture of fallopian tube pregnancy, dull pain in one side of the lower abdomen is often present.

When miscarriage or rupture occurs, you will suddenly feel tearing pain in the lower abdomen on one side, accompanied by nausea and vomiting.

Caused by intra-abdominal bleeding and severe abdominal pain. The severity of symptoms is not directly proportional to the amount of vaginal bleeding

The hematoma formed during fallopian tube pregnancy miscarriage or rupture lasts for a long time and is caused by blood coagulation and adhesion to surrounding tissues.

Anemia, weak pulse, decreased blood pressure and other shock manifestations, lower abdominal tenderness and rebound tenderness, and possibly shifting dullness.

①Vagina

② Fallopian tube

③Uterus

During the gynecological examination, a mass can be palpated on one side of the uterus, which is soft, irregular in surface, and tender: posterior curvature puncture can be positive:

hCG can be seen clearly; B-ultrasound shows irregular masses around the uterus and a small amount of pelvic fluid, which are easily confused with pelvic inflammatory disease and adnexal tumors. Therefore, the diagnostic value of B-ultrasound is limited and cannot be used as a basis for diagnosis. Posterior curvature puncture is a more reliable diagnostic basis.

A. Those with unstable vital signs or signs of intra-abdominal bleeding

B. Those with progressive ectopic pregnancy (such as blood hCG>3000U/L, fetal heartbeat, large mass in the adnexal area, etc.)

C. Those with unreliable follow-up visits

D. Drug treatment is contraindicated or ineffective

E. Persistent ectopic pregnancy.

Depending on whether to preserve the fallopian tube on the affected side

Methotrexate: The treatment mechanism is to inhibit the proliferation of trophoblast cells, destroy villi, and cause necrosis, shedding, and absorption of embryonic tissue.

A. Systemic medication

B. Topical application