What diseases can be easily confused with ectopic pregnancy?

Ectopic pregnancy is a highly harmful gynecological disease that seriously affects women's physical health. However, the symptoms of this disease are easily confused with other diseases. Here, experts introduce the diseases that are easily confused with ectopic pregnancy.

What are the diseases that are easily confused with ectopic pregnancy? The following is a detailed introduction.

1. Patients with ruptured and bleeding ovarian chocolate cysts have a history of endometriosis, which often occurs before or during menstruation. The pain is quite severe and may be accompanied by obvious anal swelling. Chocolate-like liquid can be extracted by puncturing the posterior fornix of the vagina for the diagnosis. If the rupture site injures blood vessels, signs of internal bleeding may appear.

2. Acute pelvic inflammatory disease. In acute or subacute inflammation, there is generally no history of amenorrhea, abdominal pain is often accompanied by fever, blood count and erythrocyte sedimentation rate are often elevated, B-ultrasound can detect adnexal masses or pelvic effusion, and urine HCG can assist in diagnosis. Especially after anti-inflammatory treatment, inflammatory manifestations such as abdominal pain and fever can gradually alleviate or disappear.

3. Ovarian corpus luteum rupture and bleeding. Corpus luteum rupture often occurs during the luteal phase or menstrual period. However, it is sometimes difficult to distinguish from ectopic pregnancy, especially for patients with no obvious history of amenorrhea and irregular vaginal bleeding. β-HCG is often needed for diagnosis.

4. Ovarian cyst pedicle torsion. The patient has normal menstruation, no signs of internal bleeding, and generally has a history of adnexal masses. The cyst pedicle may have obvious tenderness. The diagnosis can be confirmed by gynecological examination combined with B-ultrasound.

5. Threatened abortion in early pregnancy. The abdominal pain of threatened abortion is generally mild, the size of the uterus is basically consistent with the month of pregnancy, the amount of vaginal bleeding is small, and there is no internal bleeding. B-ultrasound can be used for identification.

6. Surgical conditions. Acute appendicitis often causes obvious right lower abdominal pain, often accompanied by fever and nausea.

What are the diseases that are easily confused with ectopic pregnancy? A detailed introduction has been given above. Experts hereby remind you: If you find the above symptoms, you should go to the hospital for examination in time to prevent the disease from being misdiagnosed, delaying the disease and causing serious consequences.

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