Culdocentesis followed by saline solution-enhanced ultrasonography: technique for evaluation of suspected ectopic pregnancy

Journal of Minimally Invasive Gynecology
Tamer M YalcinkayaMunire Erman Akar

Abstract

To evaluate the use of a technique consisting of culdocentesis followed by saline solution-enhanced pelvic ultrasonography in cases suspect for ectopic pregnancy in which an accurate diagnosis could not be made using routine transvaginal ultrasound. Retrospective clinical study (Canadian Task Force classification III). Academic medical center. Twenty patients with an initial diagnosis of pregnancy of unknown location. In 20 patients with symptoms of early pregnancy and serum quantitative human chorionic gonadotropin concentration, ectopic pregnancy could not be confirmed or ruled out. Transvaginal ultrasound-guided culdocentesis was performed, and 300 to 400 mL of normal saline solution was injected into the posterior cul-de-sac and pelvis. Transvaginal ultrasound was repeated with particular attention to the floating fallopian tubes Using this technique, a tubal pregnancy was visualized in 15 of 20 patients, and ectopic pregnancy was ruled out in 5 patients. In all patients, appropriate management was provided according to the final diagnosis, and consisted of either methotrexate, laparoscopic salpingostomy or salpingectomy, or expectant management in patients with abnormal intrauterine pregnancies. Ultrasound-guided culdocent...Continue Reading

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Citations

Feb 6, 2017·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Qingqing HongYanping Kuang
Sep 23, 2020·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M LeonardiG Condous

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