ABSTRACT
Introduction: Ectopic pregnancy (EP)is an implantation occurring outside the uterine cavity. Before introduction of diagnostic role of USG in ectopic pregnancy (EP) it was used to be mediate the time of surgery. Currently ultrasonography is regarded as the gold standard method for diagnosing ectopic pregnancy (EP).It may identify masses as small as 10 mm in diameter in the adnexa and details about character of the mass. It also evaluates the content of endometrial cavity and assess presence of free peritoneal fluid. Color flow Doppler technology may even further improve the accuracy of diagnosis. In present study we analysed diagnostic accuracy of trans abdominal USG in patients presented to tertiary care hospital with suspected ectopic pregnancy (EP). To evaluateAims And Objectives: transabdominal USG features in ectopic pregnancy and correlate them with surgical findings. Material And Method: Amongst the patients referred to radiology department of our hospital from January 2022 to September 2022 for first trimester ultrasound, those with the suspected ectopic pregnancy and who underwent surgical treatment for ectopic pregnancies were enrolled. Transabdominal USG was performed preoperatively in all cases by Philips affinity 30 machine. On transabdominal USG adnexal mass with pelvic fluid was found in 19 (66 %), Pelvic fluid withoutResult: adnexal mass in 7 (24 %), mild hemoperitoneum in 9 (31 %), moderate hemoperitoneum in 9 (31 %), severe hemoperitoneum in 5 (17 %) and thickened endometrium in 2 (7 %) cases. Out of total Salpingostomy was performed in 2 (7 %), Salpingectomy was performed in 24 (83 %) and Salpingectomy with oophorectomy in 3 (10 %). USG Sensitivity was found 100 %,Specificity as 66.67 %, Positive Predictive value as 96.30 % and negative predictive value as 100 %. Conclusion: A high level of suspicion, early diagnosis, and treatment enhance the chance for future reproduction. Early diagnosis is made possible by ultrasound. Therefore, ultrasounds should be performed to determine the viability and location of all early pregnancies.