Role of usg in Ectopics: Recent Update

Authors

  • Arzoo Ralhan
  • Muskan Sodhi

DOI:

https://doi.org/10.37506/ijphrd.v13i3.18177

Keywords:

Ectopic pregnancy, Laparotomy, Laparoscopy, Ultrasonography

Abstract

This study is undertaken to emphasize the role of ultrasonography in the diagnosis of ectopic pregnancy and clinical
analysis of the same in a tertiary care referral hospital.
Methodology
One hundred patients with provisional diagnosis of ectopic pregnancy were studied. Physical examination, urine
pregnancy test, transabdominal scan using 5 MHz transducer or transvaginal ultrasonography of 7 MHz was done. The
diagnosis of ectopic pregnancy was confirmed by direct observation by laparotomy or laparoscopy (which was taken as
gold standard).
Results
The study showed ectopic pregnancy was most common in gravida 2 and in age group 26–30 years with most of them
having married life <10 years. One or more risk factors were found in 66 % of cases. 54 % of cases presented with acute
symptoms, 14 % of cases in shock. Among clinical presentation pain abdomen, history of amenorrhea, bleeding per
vaginum, abdominal tenderness, and cervical motion tenderness was most common. In ultrasonography, complex mass
in adnexa was present in 60 % of cases and hemoperitoneum in 50 %. 96 % of cases were tubal pregnancy with most of
them tubal rupture. In 98 % of cases, radical surgery was done. Salpingectomy was the most common surgery done (90
%). There was no negative laparotomy in this study. There was no maternal mortality in this series.
Conclusions
In all the 100 cases of ectopic pregnancy studied, the ultrasonography provided definitive diagnosis resulting in 100 %
sensitivity and 100 % specificity, predictive value of positive test being 100 %. Ultrasonography done in earlier weeks of
gestation had sensitivity of 96 % and false negative 4 %

Author Biographies

  • Arzoo Ralhan

    Resident, Department of Obstretics and Gynaecology, Adesh Institute of Medical Sciences and Research, Bathinda,Punjab

  • Muskan Sodhi

    Resident, Department of Obstretics and Gynaecology, Adesh Institute of Medical Sciences and Research, Bathinda,Punjab

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Published

2022-06-24

How to Cite

Role of usg in Ectopics: Recent Update. (2022). Indian Journal of Public Health Research & Development, 13(3), 99-101. https://doi.org/10.37506/ijphrd.v13i3.18177