Transvaginal sonographic features in ectopic pregnancy.
A retrospective review of the transvaginal sonograms of 37 women with confirmed ectopic pregnancy was performed to characterize the findings from transvaginal sonography and correlate operative findings with sonographic features. Thirty-six of the 37 ectopic pregnancies were tubal pregnancies. Intrauterine findings showed an absence of gestational sac in all cases and a pseudosac in 1 case (7.14%). An ectopic gestational sac with a live embryo was documented in 2 cases (5.41%) and with embryo or yolk sac in 6 cases (16.22%) and nonspecific adnexal mass in 30 cases (81.08%). Fluid in the cul-de-sac was found in 22 cases (59.46%). Transvaginal sonography provides better access to the pelvic organ and allows a clear view of the uterus and adnexa, with no need to fill the bladder. Excellent visualization of the endometrial cavity permits the detection of even a very early intrauterine pregnancy and clearly shows the gestational sac where it is outside the uterine cavity. Blood and other fluids in the cul-de-sac can also be seen easily. This technic has reduced patients' risk by minimizing delay in diagnosis and treatment.
Sukcharoen
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N
Department of Obstetrics & Gynaecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Phaosavasdi
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S
D005260:Female; D006801:Humans; D011247:Pregnancy; D011269:Pregnancy, Abdominal / Q000000981:diagnostic imaging; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging*; D011274:Pregnancy, Tubal / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D014463:Ultrasonography; D014621:Vagina