Ectopic pregnancy: features at transvaginal sonography.

Fleischer, Arthur C.; Pennell, R G; McKee, Martin; Worrell, John A.; Keefe, Bernadette; Herbert, Carl M.; Hill, GA; Cartwright, Peter S.; Kepple, D M

doi:10.1148/radiology.174.2.1688662

Cited by 150 publications

(55 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The major advantages of transvaginal ultrasonography were an accurate evaluation of adnexal texture and improve visualization of the contents of the sac, shown also by previous studies 6, 10 . As a result, more ectopic pregnancies were diagnosed while still unruptured.…”

Section: Discussionmentioning

confidence: 65%

Comparison of transvaginal and transabdominal ultrasonography in the diagnosis of ectopic pregnancy

Nahar

Quddus

Sattar

et al. 2014

Bangladesh Med Res Counc Bull

View full text Add to dashboard Cite

This cross sectional study was carried out in the department of Radiology and Imaging, Dhaka Medical College Hospital from July 2008 to June 2010 to compare the accuracy of transvaginal ultrasonography and transabdominal ultrasonography in the diagnosis of clinically suspected cases of ectopic pregnancy. Initially 60 patients with clinical suspicion of ectopic pregnancy were included in this study after analyzing selection criteria 30 patients underwent both transvaginal and transabdominal ultrasonography. 'Histopathological diagnosis' was considered gold standard against which accuracies of two diagnostic modalities were compared. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of transabdominal ultrasonography as a diagnostic modality in evaluation of suspected ectopic pregnancy were 73.1%, 75%, 95%, 30% and 73.3% respectively where as transvaginal ultrasonography was found to have 92.3% sensitivity, 75% specificity, 96% positive predictive value, 60% negative predictive value and 90% accuracy. Transvaginal ultrasonography was superior to transabdominal ultrasonography in the evaluation of suspected ectopic pregnancies .so, transvaginal ultrasonography is important for early and accurate diagnosis of ectopic pregnancy.

show abstract

Section: Discussionmentioning

confidence: 65%

Comparison of transvaginal and transabdominal ultrasonography in the diagnosis of ectopic pregnancy

Nahar

Quddus

Sattar

et al. 2014

Bangladesh Med Res Counc Bull

View full text Add to dashboard Cite

show abstract

“…21 Previous sonographic studies have reported echogenic or "particulate" fluid in 25 to 57% of ectopic pregnancies. 7,16,[22][23] The higher rate in this study likely reflects the selected patient population. Although not specifically studied prior to this study, echogenic fluid has correlated with hemoperitoneum.…”

mentioning

confidence: 82%

Free echogenic pelvic fluid: correlation with hemoperitoneum.

Sickler

Chen

Dubinsky

et al. 1998

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

ransvaginal ultrasonography has proven to be a valuable modality in evaluation of women with suspected ectopic pregnancy. [1][2][3][4] Its value lies not only in the near exclusion of ectopic pregnancy by identification of an IUP but also in the diagnosis of an ectopic pregnancy by recognition of key adnexal findings. Transvaginal ultrasonography enables the detection of extrauterine living embryos, tubal rings, complex masses, and free pelvic fluid.Pelvic fluid is an important extrauterine finding in the evaluation of a possible ectopic pregnancy. The identification of moderate to large amounts of fluid has been shown to correlate with a high risk for ectopic pregnancy. 5,6 More recently, characterizing the fluid as echogenic has been proposed as a significant extrauterine risk factor for ectopic pregnancy, regardless of the amount of fluid. 7 The purpose of this study was to evaluate how echogenic fluid detected by transvaginal ultrasonography correlates with surgically proven hemoperitoneum in suspected ectopic pregnancies. Echogenic fluid is an important extrauterine finding of ectopic pregnancy. The purpose of this study was to determine how accurately echogenic fluid correlates with hemoperitoneum at surgery. Transvaginal sonography was performed in 831 consecutive patients referred to rule out ectopic pregnancy over a 36 month period. Scans were retrospectively evaluated for the presence or absence and echogenicity of free pelvic fluid. Subsequently, 185 patients had a laparotomy or laparoscopy and had documentation of the presence or absence of hemoperitoneum. On transvaginal sonography 125 patients had echogenic fluid, 30 patients had anechoic fluid, and 30 patients had no fluid. Of the 125 patients with echogenic fluid, 122 (98%) patients had hemoperitoneum; none of the patients with anechoic fluid or no detected fluid had hemoperitoneum (0%). Echogenic fluid had a sensitivity of 100%, specificity of 95%, positive predictive value of 98%, and an accuracy of 98% for detecting hemoperitoneum. This study demonstrates that echogenic fluid detected by transvaginal ultrasonography accurately correlates with hemoperitoneum detected at surgery in patients with suspected ectopic pregnancy.

show abstract

“…TVS has proven to be an invaluable tool in the diagnosis of this condition. The typical image of heterotopic pregnancy on TVS are the presence of an intra uterine gestation with an ectopic tubal pregnancy contained an embryo 7 or a tubal ring was present in which the tube had not ruptured, an adenexal mass with a concentric echogenic rim of tissue, a gestational sac, surrounding a hypo echoic empty centre, 8 or there are no conclusive adenexal findings and the diagnosis of ectopic pregnancy may be based on ultrasound features, such as "hematoperitoneum, hematosalpinx and free fluid in the peritoneum or the pelvis e.g. in the pouch of Douglas" 9 .…”

Section: Tvs Reportmentioning

confidence: 99%

Laparoscopic Management of Tubal Ectopic of Heterotopic Pregnancy

Saha

Das

Moniruzzaman³

et al. 2017

J. Bangladesh Coll. Phys.

View full text Add to dashboard Cite

A heterotopic pregnancy is a rare complication of pregnancy in which both extra-uterine (ectopic pregnancy) and intrauterine pregnancy occur simultaneously. The prevalence of heterotopic pregnancy is estimated at 0.6-2.5: 10,000 pregnancy. It is a challenge for obstetrician to manage the tubal pregnancy without interruption of intrauterine pregnancy. Here we describe a case who had left tubal alive ectopic pregnancy & also intrauterine alive pregnancy simultaneously after a natural conception. This patient was managed successfully with laparoscopic left salpingectomy, and intrauterine pregnancy has been continuing. There are some precautions during laparoscopic procedure & post operative period which can help for continuation of intrauterine pregnancy. In our clinical experience, this is an extreme rare disorder and we feel interest to report this case. A heterotopic pregnancy can result from a natural conception; it requires a high index of suspicious for early and timely diagnosis; a timely intervention can result in a successful outcome of the intrauterine fetus.

show abstract

Ectopic pregnancy: features at transvaginal sonography.

Cited by 150 publications

References 0 publications

Comparison of transvaginal and transabdominal ultrasonography in the diagnosis of ectopic pregnancy

Comparison of transvaginal and transabdominal ultrasonography in the diagnosis of ectopic pregnancy

Free echogenic pelvic fluid: correlation with hemoperitoneum.

Laparoscopic Management of Tubal Ectopic of Heterotopic Pregnancy

Contact Info

Product

Resources

About