How is presentation of ectopic pregnancy?

➢ Until rupture occurs, an ectopic pregnancy may be indistinguishable from a normal pregnancy, with cessation of menstruation and elevation of serum and urinary placental hormones. ➢ Under the influence of these hormones, the endometrium (in approximately 50% of cases) undergoes the characteristic hypersecretory and decidual changes of pregnancy. ➢ The absence of elevated gonadotropin levels does not exclude the diagnosis because poor attachment and necrosis of the ectopic placenta are common. ➢ Rupture of an ectopic pregnancy is a medical emergency that, if left untreated, may result in exsanguination and death.