PATHOPHYSIOLOGY of ECTOPIC PREGNANCY

Coitus

Entry of spermatozoon in the

cervix then to the fallopian tube

Union of ovum and spermatozoon

at distal 3rd of fallopian tube

Predisposing Factors: Precipitating Factors:

Lifestyle Previous ectopic pregnancy
Dilation and Curettage
(DIC)

Legend:
Obstruction/damage in the tube Process/Signs and
Symptoms
Diagnostic Evaluation
Management
Narrowing of the fallopian tube

Prevents egg from reaching the uterus

Blastocyst implants outside the

endometrium of the uterus

TUBAL ECTOPIC PREGNANCY Salpingectomy

 Tapping of blood vessels in the tube

Limited Blood pressure is Decreased Decreased

decidual much higher in muscle mass resistance to
reaction the tubal arteries lining the the invading
than in the uterine fallopian tubes trophoblastic
arteries (where it tissue by the
is greatly limited) fallopian tube
Serum
pregnancy
test shows
low HCG
Growing zygote
Placental ruptures the slender Tearing and
dislodgement tube/trophoblast cells destruction
break through with of blood
narrow base vessels
Progesterone
secretion stops
Ultrasound Tube ruptures

Uterine decidua
sloughs off

•Bleeding/vaginal
spotting
•Sharp stabbing
pain at L/R lower
abdomen

•Pain radiating to shoulder Blood Conception

•Rigid abdomen accumulation in products expelled
•Cullen’s sign the peritoneum into pelvic cavity