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  • 1. Kehamilan Ektopik Merupakan suatu keadaan dimana hasil konsepsi berimplantasi dan tumbuh diluar endometrium kavum uteri Yang termasuk kehamilan ektopik: - kehamilan abdominal - kehamilan ovarium - kehamilan ampula tuba - kehamilan intraligamen - kehamilan ismus tuba - kehamilan kornu - kehamilan interstisial tuba - kehamilan serviks
  • 2.  Etiologi 1. Faktor dalam lumen tuba : endosalpingitis, hipoplasia uteri lumen tuba, operasi plastik tuba & sterilisasi 2. Faktor dinding tuba : endometriosis tuba, divertikel tuba kongenital 3. Faktor diluar dinding tuba : perlekatan peritubal dgn distorsi, tumor yg menekan ddg tuba 4. Faktor lain : migrasi luar ovum, fertilisasi in vitro
  • 3.  Gambaran klinik - Gejala hamil muda disertai nyeri perut bgn bawah - Gejala &tanda bergantung pd lamanya KE terganggu, abortus/ruptur tuba, tuanya kehamilan, derajat perdarahan yg terjadi & keadaan umum pdrtsebelum hamil
  • 4. Diagnosis - Amenorea - Nyeri tekan perut merupakan keluhan utama KET - Perdarahan pervaginam  KET - PDV : nyeri goyang porsio, kavum Douglasi menonjol - Kuldosentesis : pem. Untuk ketahui adanya darah dlm kavum Douglasi - D/ Pasti : Laparoskopi Penanganan - Laparotomi