Diagnosis of ectopic pregnancy: endovaginal vs transabdominal sonography

AJR. American Journal of Roentgenology
M K ThorsenR S Perret

Abstract

During a 25-month period, 193 women with the clinical diagnosis of suspected ectopic pregnancy had transabdominal and endovaginal sonograms. Most had quantitative determinations of serum human chorionic gonadotropin (HCG). Endovaginal sonography was diagnostic of ectopic pregnancy in 23 (38%) of the 60 patients with surgically proved ectopic pregnancies: transabdominal sonography was diagnostic in 13 patients (22%). All 83 intrauterine pregnancies were identified with endovaginal sonography, compared with 34 identified with transabdominal sonography. Endovaginal sonography was somewhat more helpful in the diagnosis of missed abortion and blighted ovum. Eighty endovaginal sonograms were classified as indeterminate as compared with 141 transabdominal studies. This indeterminate group included patients with complete abortions, ectopic pregnancies without sonographic evidence of an extrauterine gestation, incomplete abortions, and patients with subsequent negative serum levels. As in prior reports, endovaginal sonography was superior to transabdominal sonography in the evaluation of suspected ectopic pregnancies. Overall, endovaginal sonography was diagnostic in 113 patients, whereas transabdominal sonography was diagnostic in 52 p...Continue Reading

Citations

Sep 10, 2003·Emergency Medicine Clinics of North America·David Della-Giustina, Mark Denny
Oct 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J R MateerD W Olson
Apr 1, 1991·Postgraduate Medical Journal·L Kreel
Mar 1, 1996·Clinical Obstetrics and Gynecology·D S Emerson, M L McCord
Apr 30, 1998·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R Dart, K Howard
Jul 29, 2008·Emergency Medicine Clinics of North America·J Christian Fox, Zareth Irwin
Jul 4, 2007·The American Journal of Emergency Medicine·Srikar AdhikariMatthew Lyon
Dec 7, 2006·Radiologic Clinics of North America·Aimee D Eyvazzadeh, Deborah Levine
Nov 23, 2013·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A GnisciA Agostini
Dec 1, 1993·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·T Tongsong, S Pongsatha
Aug 6, 2003·Radiologic Clinics of North America·Elizabeth Lazarus
Dec 10, 1997·Emergency Medicine Clinics of North America·M B PhelanJ R Mateer
Aug 24, 2004·Ultrasound Quarterly·Vandana Dialani, Deborah Levine
Oct 13, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·E S Guvendag GuvenA Haberal
Aug 1, 1994·British Journal of Obstetrics and Gynaecology·J G GrudzinskasA Lower
Dec 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·D F Brennan
Nov 1, 1993·Journal of the American Academy of Nurse Practitioners·C J Creech
Mar 1, 1994·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·J R Mateer, D Jehle
Apr 30, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Peter M Doubilet, Carol B Benson
Jun 20, 2021·The American Journal of Emergency Medicine·Bethsabee S StoneJoseph R Pare

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