Oue to many epidemiologic variations, the incidence of the ectopic pregnancy has increased lts significance to become practically 2% of ali the gestations. lts high mortality allows us to understand why this pathology must be handled by general doctor, and by the specialist. The course of the noncomplicated disease is indolent so we must strongly suspect in the patients who present risk factors: the antecedent of surgery, previous ectopic pregnancy and fertility treatment due pregnancy. When the disease starts with its complication, the diagnosis must be quickly done and must be considered to ali fema/e in fertile age presenting an acute abdomen, until discarding. In addition to the clinical suspicion, the 2 elements more important in the diagnosis of the disease are the determination of 8-HCG and u/trasound. The greater availability of these two tools in the urgency services, has allowed to establish a precocious diagnosis of EE facilitating its treatment, the one that classically has been surg./cal. At the moment, laparoscopy is the key piece of the surgical handling of the disease, radical or conservative. Nevertheless, given the precocity of the diagnoses, pharmacologic treatment may be a sote and effective alternative in selected groups. lnitial, noncomplicated EE , in sorne centers, is considered a medica/ treatment pathology.
Puga, M. ., Reyes, F. ., Larrea, V. ., Marchant, R. ., Díaz, R. ., Cisternas, D. ., & González, P. . (2004). Embarazo tubario: Revisión actualizada de Factores de Riesgo y diagnóstico . Revista Hospital Clínico Universidad De Chile, 15(4), pp. 307–15. https://doi.org/10.5354/2735-7996.2004.79192
