Premium
Accuracy in Diagnosis of Ectopic Pregnancy by Transvaginal Ultrasonography
Author(s) -
Anandakumar C.,
Lee Colin S. S.,
Wong Yee Chee,
Chia Dawn,
Rodenburg A.,
Ratnam S. S.
Publication year - 1992
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1992.tb00309.x
Subject(s) - ectopic pregnancy , adnexal mass , medicine , transvaginal ultrasound , transvaginal ultrasonography , pregnancy , pregnancy test , ultrasound , vagina , pouch , concomitant , obstetrics , gynecology , uterus , ultrasonography , radiology , surgery , biology , genetics
Forty patients suspected to have ectopic pregnancy by transvaginal ultrasonography had surgery. 77.5% were confirmed to have ectopic pregnancy and 10% had other abnormal pelvic findings. The transvaginal approach appears to enable us to diagnose ectopic pregnancy at an earlier date, with the earliest diagnosis made at 4 weeks 0 days of amenorrhoea. In cases of confirmed ectopic pregnancy, the presence of a complex adnexal mass was the most common feature seen on transvaginal ultrasound and its predictability of ectopic pregnancy is enhanced by a concomitant finding of an empty uterus (95%) or free fluid in the Pouch of Douglas (94%) in the presence of a positive hCG test. The significance of transvaginal ultrasound features, and the advantages of transvaginal over transabdominal ultrasound, are discussed.