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Abnormal Test Spinal Abdominal Pregnancy Mean

Abnormal Test Results: Spinal Abdominal Pregnancy


A spinal abdominal pregnancy is a rare and life-threatening condition in which an embryo implants in the abdominal cavity instead of the uterus. This type of ectopic pregnancy occurs in approximately 1 in 10,000 pregnancies and is associated with significant maternal morbidity and mortality.


The diagnosis of a spinal abdominal pregnancy is often challenging due to its rarity and non-specific symptoms. However, certain abnormal test results can raise suspicion and warrant further investigation.

Ultrasound Findings

Transvaginal ultrasound is the primary imaging modality used to diagnose a spinal abdominal pregnancy. Abnormal findings may include:

  • Absence of an intrauterine pregnancy: The absence of a gestational sac or fetal pole within the uterus is a key indicator of an ectopic pregnancy.
  • Presence of an extrauterine mass: An echogenic mass located outside the uterus, often in the abdominal cavity or pelvis, may represent an ectopic pregnancy.
  • Abnormal fetal heart activity: The presence of fetal heart activity outside the uterus is a definitive sign of an ectopic pregnancy.

Blood Tests

Quantitative beta-human chorionic gonadotropin (β-hCG) levels can be used to monitor the progression of an ectopic pregnancy. However, abnormal β-hCG levels alone are not diagnostic of a spinal abdominal pregnancy.

  • Rapidly rising β-hCG levels: A rapid increase in β-hCG levels may suggest a viable ectopic pregnancy.
  • Low or plateauing β-hCG levels: Low or plateauing β-hCG levels may indicate a non-viable ectopic pregnancy or a pregnancy of unknown location.

Other Tests

  • Culdocentesis: A culdocentesis involves aspirating fluid from the cul-de-sac, located behind the uterus. The presence of blood or tissue in the aspirated fluid may indicate an ectopic pregnancy.
  • Laparoscopy: Laparoscopy is a surgical procedure that allows direct visualization of the abdominal cavity. It can be used to confirm the diagnosis of a spinal abdominal pregnancy and to remove the ectopic pregnancy.


The management of a spinal abdominal pregnancy depends on the patient’s clinical presentation and the location and viability of the ectopic pregnancy.

  • Medical management: Methotrexate, a chemotherapeutic agent, can be used to terminate a non-viable ectopic pregnancy.
  • Surgical management: Laparoscopic or open surgery is typically required to remove a viable ectopic pregnancy. The surgery involves removing the ectopic pregnancy and any associated placental tissue.


Spinal abdominal pregnancies can lead to serious complications, including:

  • Hemorrhage: Rupture of the ectopic pregnancy can cause life-threatening hemorrhage.
  • Infection: Infection of the ectopic pregnancy can spread to the uterus and other pelvic organs.
  • Infertility: Damage to the fallopian tubes or uterus during surgery can lead to infertility.


The prognosis for patients with a spinal abdominal pregnancy depends on the severity of the condition and the timeliness of diagnosis and treatment. Early diagnosis and prompt intervention can improve the chances of a successful outcome.


Abnormal test results, particularly in the context of a suspected ectopic pregnancy, should raise suspicion of a spinal abdominal pregnancy. Prompt diagnosis and appropriate management are crucial to prevent life-threatening complications.

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