gynecology and obstetrics medical project, gynecology journal, obstetrics, gynecologic oncology, reproductive medicine, gynecological endoscopy, ultrasonography, gynecology articles

Ginekologia i Poloznictwo
ISSN 1896-3315 e-ISSN 1898-0759

Pregnancy of unknown location as a diagnostic challenge ? case analysis


Author(s): Jakub Śliwa (ABCDEF), Anna Kryza-Ottou (BCDF), Anna Rosner-Tenerowicz (CFD), Aleksandra Zimmer (BD), Mariusz Zimmer (DEF)

Introduction: Pregnancy of unknown localization (PUL) is a diagnostic challenge within the population of the patients with increased serum b-hCG as well as no ultrasonographic confirmation of an intrauterine nor extrauterine pregnancy. Creating a universal approach and diagnostic method regarding this matter could help us reduce the risk of serious complications such as life-threatening events following the development of an extrauterine pregnancy. Aim of the study: The aim of this study was to determine the distribution of the final diagnoses and their basic characteristics among the population of the patients admitted with the initial diagnosis of PUL to the II Dept. of Obstetrics and Gynaecology Wroclaw Medical University. Material and methods: We analysed 44 patients’ histories who were hospitalised between 2016-2017 within the 2nd Dept. of Obstetrics and Gynaecology Wroclaw Medical University with an initial diagnosis of PUL. Collected data was then analysed using STATISTICA software. Results: The mean age of patients was 31y.o., mean number of pregnancies 1.9, mean pregnancy length was 6 weeks. 36 women (81,6%) were admitted presenting clinical symptoms, 8 cases (18,2%) were asymptomatic. Conclusions: Ectopic pregnancy was the most common enddiagnosis in the tested group. The frequency of ectopic pregnancy, miscarriage and PUL as the end-diagnosis increases with the patient’s age.