Obligatory medical device diagnostics.
- Vaginal ultrasonography (ultrasound examination using an ultrasound probe inserted into the vagina) [detection of:
- Amniotic cavity with embryo and cardiac actions outside the cavum uteri* /uterine cavity.
- Ring structure adjacent to ovary/ovary, DD: corpus luteum cyst/luteal cyst.
- Solid or hypoechogenic structure that can be demarcated from the ovary.
- Pseudogestation sac (echolear ring structure formed as a result of hormonal change), DD: intact intrauterine gravidity (IUG)/pregnancy in the uterine cavity.
- Free fluid or blood coagulation in the Douglas space, DD: free fluid in intrauterine gravidity (IUG).
- Tubargravidity (tubal pregnancy): presentation of gestational tissue (pregnancy tissue) in the area of the adnexa (appendage of the uterus, consisting of ovary and fallopian tube) in the absence of intrauterine attachment]
Note: Both an ectopic pregnancy and an unclear pregnancy of unknown location (PUL) have as a cardinal symptom the lack of sonographic representability of the intrauterine pregnancy anlage.At an HCG value > 1,000 U/l, an intrauterine chorion (amniotic sac > 4 mm) should be detectable on vaginal sonography.
- Abdominal sonography (ultrasound examination of the abdominal organs) – for basic diagnostics.
Optional medical device diagnostics – depending on the results of the medical history, physical examination, laboratory diagnostics and mandatory medical device diagnostics – for differential diagnostic clarification.
- Diagnostic-therapeutic pelviscopy (reflection of the pelvic cavity)/laparoscopy (abdominal endoscopy).
* If abdominal pregnancy is suspected at an advanced stage, treatment in a center with intensive care infrastructure is urgently required!
