Objective: To describe the clinical and paraclinical characteristics of ruptured ectopic pregnancy at Kien Giang Obstetrics and Pediatrics Hospital.
Subjects and Methods: A descriptive study was conducted on 80 patients diagnosed with ectopic pregnancy who were admitted and treated from January 2022 to December 2024.
Results: The mean patient age was 33.6 ± 6.96 years; 30% had irregular menstrual cycles; 33.7% had a history of gynecologic infection; 25% used intrauterine devices; and 40% had a history of abortion. Common symptoms included missed period (61.25%), abdominal pain (72.5%), and vaginal bleeding (68.75%); 43.75% presented with the classic triad. Frequent physical findings were cul-de-sac tenderness (88.75%) and adnexal mass (75%). Paraclinical results showed 91.25% positive pregnancy tests, 58.75% with β-hCG ≥ 2000 U/L, 100% with intraperitoneal fluid on ultrasound, and 83.75% with adnexal focal lesions. Most patients had hematologic and coagulation values within acceptable limits; blood group A was the most common (41.25%).
Conclusion: Ruptured ectopic pregnancy predominantly occurs in reproductive-aged women, often associated with menstrual irregularities and gynecologic or obstetric history. The classic triad of missed period, abdominal pain, and vaginal bleeding remains highly indicative, while elevated β-hCG levels and the presence of intraperitoneal fluid on ultrasound are key diagnostic markers.