Diagnostic value of transvaginal and color doppler ultrasonography in cases with adnexal masses and abdominal pain: diagnostic tools in emergency room

ABSTRACT

Over a period of four years, 91 patients presented with abdominal pain and adnexal mass were included in this study. Serum beta subunit human chorionic gonadotrophin [BhCG] values were obtained. The cohort was classified into two groups Group I with a clinical suspicion of tubal pregnancy [n = 45], all of them had positive results in quantitative BhCG test and Group II with ovarian mass and abdominal pain [n = 46], no one of them had positive BhCG test. Transvaginal sonography [TVS] and color Doppler [CDS] were done. Patients were referred for laparoscopy and/or laparotomy. It was concluded that CDS has a limited value in addition to conventional TVS in diagnosing tubal pregnancy, however it is a good supplementary diagnostic tool for monitoring the viability of trophoblast. On the other hand, CDS is crucial in patients with suspected ovarian torsion for an early and accurate diagnosis to save reproductive organs