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F18Hysterosalpingo contrast sonography in the assessment of tubal patency after ectopic pregnancy treated by methotrexat
Author(s) -
Odeh M.,
Priborkin A.,
Lebovitz Z.,
Degani S.,
Oettinger M.
Publication year - 2000
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.2000.00015-1-18.x
Subject(s) - medicine , ectopic pregnancy , fallopian tube , ultrasound , pregnancy , obstetrics , radiology , surgery , genetics , biology
Background The aim of this study was to assess tubal patency in patients treated by methotrexat for ectopic pregnancy using hysterosalpingo contrast sonography (HyCoSy). Method Patients that had ectopic pregnancy treated by methotrexat and in whom the pregnancy site was confirmed by ultrasound were included in this study. Echovist contrast medium was used to assess tubal patency. Fallopian tube patency was defined as being the visualization of a steady flow of contrast agent within the fallopian tube and/or the visible contrast spill from the fimbirial end over the ovary. In patients who previously underwent HSG the results were compared. Results 135 patients were contacted out of 157 but 28 only reported for the examination. The ectopic pregnancy was localized in the left tube in 14 patients and in the right tube in 14. Twenty‐four patients stated that they are still planing future pregnancies and 4 of them delivered before the examination. Both tubes were patent in 22 (78.6%) patients (5 normal HSG) while 3 (10.7%) had one patent tube in the contralateral side (1 normal HSG) and 1 (3.6%) in the ipsilateral side (1 normal HSG) and 2 (7.1%) had both tubes occluded (no HSG). The examination was completed in all patients and 6 reported on severe pain and 14 on mild discomfort. Conclusion Our results match the tubal patency rate reported in this group of patients using HSG and we think HyCoSy may replace HSG in the majority of these cases.