Ectopic Pregnancy

Role of transabdominal ultrasound in detection of ectopic pregnancy | Thapa | Journal of College of Medical Sciences-Nepal

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Narayan Bikram Thapa Department of Radiology, KIST Medial College Teaching Hospital, Kathmandu Nepal

Yam Prasad Dwa Department of Obstetrics and Gynecology, KIST Medial College Teaching Hospital, Kathmandu Nepal

Article Tools Print this article Indexing metadata How to cite item Finding References Email this article (Login required) Email the author (Login required) Information For Readers For Authors Home Journal of College of Medical Sciences-Nepal Vol 12, No 1 (2016) Thapa Role of transabdominal ultrasound in detection of ectopic pregnancy Narayan Bikram Thapa, Yam Prasad Dwa Abstract

Background Objectives: Ectopic pregnancy is one of the common medical emergencies encountered in the clinical practice. Confirmation of diagnosis is usually done by urine pregnancy test and transabdominal sonography. Thus, the present study is carried out to determine the role of transabdominal ultrasonography in the diagnosis of ectopic pregnancy by comparing the ultrasonography findings with that of operative and histopathology and to evaluate clinical profile of the women with confirmed ectopic pregnancy.

Materials Methods: Transabdominal ultrasound record of patients referred for first trimester ultrasound, from January 2008 to December 2015, at radiology department of Kist medial college teaching hospital were reviewed to identify patients with ectopic pregnancy. Among these patients those who underwent surgery and histopathology confirmed ectopic pregnancies were identified and their medical records were retrieved. Ultrasound and clinical profile were recorded and statistically analyzed.

Results: There were 19 patients with ultrasound diagnosis of ectopic pregnancy among 1480 first trimester ultrasound record. Among these patients, ectopic pregnancy was confirmed on 18 patients. Ultrasound diagnosis included adnexal mass with pelvic fluid in 15 (83.3%) patients and pelvic fluid without adnexal mass in 4 (16.7%) patients. The study result revealed that sensitivity of transabdominal ultrasonography was 100% and specificity was 99.9%. Positive predictive value and negative predictive value of transabdominal ultrasonography was 94% and 100%.

JCMS Nepal. 2016;12(1):1-4. Keywords adnexal mass; ectopic pregnancy; free fluid; transabdominal ultrasound Full Text: PDF DOI: Copyright (c) 2016 Narayan Bikram Thapa, Yam Prasad Dwa This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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