[Ultrasonographic diagnosis of ectopic pregnancies. A report of 109 cases].
OBJECTIVE
To assess the accuracy of ultrasonographic diagnosis of ectopic pregnancies.


METHODS
A retrospective study of ultrasonographic findings of 109 patients operated for ectopic pregnancy between january 1997 and december 1998. Ultrasonography was performed with an Aloka SSD 620 sonographic imager and a 5 MHz endovaginal transducer.


RESULTS
All patients had a transvaginal sonography. Of these, 15 had a transabdominal sonography. Ultrasonographic findings of the 109 ectopic pregnancies were an extrauterine gestational sac in 10 cases (9.17%), an adnexel mass clearly separated from uterus and ovary in 87 cases (79.81%), a pelvic fluid in 90 cases (82.56%) and pseudogestational sac in 6 cases. Ultrasonography established the diagnosis of ectopic pregnancy in 89% of cases. Serum B HCG level was needed for diagnosis in 12 cases (11%).


CONCLUSIONS
Transvaginal sonography is the method of choice for the evaluation of women with a suspected ectopic pregnancy. However, serum B HCG levels are useful for diagnosis in 11% of cases.
Chechia
A
A
Service de gynécologie obstétrique a, EPS Charles Nicolle.
Koubâa
A
A
Terras
K
K
Bahri
N
N
Makhlouf
T
T
D018997:Chorionic Gonadotropin, beta Subunit, Human / Q000097:blood; D005260:Female; D006801:Humans; D018579:Patient Selection; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000097:blood / Q000000981:diagnostic imaging* / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D016216:Ultrasonography, Prenatal / Q000295:instrumentation / Q000379:methods
D018997:Chorionic Gonadotropin, beta Subunit, Human