The use of transvaginal ultrasonography in the diagnosis of ectopic pregnancy

Timor‐Tritsch, Ilan E.; Yeh, Ming N.; Peisner, David B.; Lesser, Karen B.; Slavik, Theresa A.

doi:10.1016/0002-9378(89)90255-x

Cited by 102 publications

(38 citation statements)

References 7 publications

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“…An intrauterine preg nancy can be visualized 34 ± 2.2 (mean ± SD) days from the last menstrual period [1] with this technique. This finding supports several studies in which transvagi nal (TV) ultrasonography has proven superior to trans abdominal (TA) ultrasonography in the early diagnosis of ectopic pregnancy (EP) [2][3][4][5][6][7], We report in this paper our experience with the use of both TV and TA ultrasonography in EP with a specific interest in (a) the correlation of ultrasonographic and surgical findings (b) the evaluation of the advantage of fered by the routine use of TV ultrasonography for EP in clinical practice.…”

Section: Introductionsupporting

confidence: 79%

Transabdominal and Transvaginal Ultrasonographic Diagnosis of Ectopic Pregnancy: Clinical Implications

Valenzano

Anserini

Remorgida

et al. 1991

Gynecol Obstet Invest

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Thirty-five patients attending an emergency room with a positive pregnancy test and suspected ectopic pregnancy underwent an ultrasonographic examination with both the transabdominal and the transvaginal techniques. Twenty-four out of 26 ectopic pregnancies were correctly diagnosed on admission, combining results of the two techniques, the sensitivity of the two techniques used separately being 88.4% (transvaginal) and 76.9% (transabdominal). In our unselected symptomatic patients, the transvaginal technique showed to be advantageous but not essential in the management of ectopic pregnancy. The surgical outcome of these patients suggested that a prompt diagnosis of ectopic pregnancy did not warrant a conservative treatment.

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Section: Introductionsupporting

confidence: 79%

Transabdominal and Transvaginal Ultrasonographic Diagnosis of Ectopic Pregnancy: Clinical Implications

Valenzano

Anserini

Remorgida

et al. 1991

Gynecol Obstet Invest

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show abstract

“…Serial ultrasound may, however, be useful for early diagnosis in patients at risk [1,3]. On the other hand, the value of intravaginal ultrasound in our patient might have made a great difference, as this has been shown to be helpful in the diagnosis of ectopic pregnancies [12,13]. Unfortunately, this was not available for our patient.…”

Section: Discussionmentioning

confidence: 86%

Combined Extrauterine and Intrauterine Pregnancy Following Clomiphene Citrate Induction

1991

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“…The use of ultrasound alone has a sensitivity of nearly 100% in diagnosing an intrauterine pregnancy as early as 5.5 gestational weeks. 13,14 Brown et al in 1994 found that using a less strict criteria of transvaginal sonography visualization of any adnexal mass other than a simple cyst had high specificity (98.9%) and positive predictive value (96.3%) and a better sensitivity (84.4%) and negative predictive value (94.8%) than using other ultrasound criteria such as an extrauterine gestation, gestational sac, yolk sac, or "tubal ring" sign in diagnosing an ectopic pregnancy (Figs 1 and 2). 15 This is felt to be true due to the fact that only 20 to 25% of ectopic pregnancies present with visualization of an extrauterine embryo (Figs 3 to 5).…”

Section: Ultrasound Alonementioning

confidence: 99%

Ectopic Pregnancy and Ultrasound: A Review

Busse¹

2007

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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First trimester bleeding occurs in up to 30% of all diagnosed pregnancies. Important causes of first trimester bleeding include spontaneous abortion, missed or threatened abortion, ectopic pregnancy, and gestational trophoblastic disease. One of the greatest dilemmas for clinicians is to accurately diagnose the cause of pain or bleeding, and specifically to determine if an ectopic pregnancy exists due to its grave consequences. Ectopic pregnancy occurs in almost two percent of all reported pregnancies in the United States and is the leading cause of pregnancy-related death in first trimester. When an early pregnant patient is identified who has bleeding or pain, it is crucial step to determine where the pregnancy is located. Ultrasound as a first line diagnostic tool offers an excellent opportunity for pregnancy localization. The use of the beta subunit of human chorionic gonadotropin (beta-hCG) quantification is a valuable adjunct to help determine the course and possible outcome of an early pregnancy. The goal should be to preserve the health and future reproductive capabilities of our patients.

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The use of transvaginal ultrasonography in the diagnosis of ectopic pregnancy

Cited by 102 publications

References 7 publications

Transabdominal and Transvaginal Ultrasonographic Diagnosis of Ectopic Pregnancy: Clinical Implications

Transabdominal and Transvaginal Ultrasonographic Diagnosis of Ectopic Pregnancy: Clinical Implications

Combined Extrauterine and Intrauterine Pregnancy Following Clomiphene Citrate Induction

Ectopic Pregnancy and Ultrasound: A Review

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