[Ultrasonographic diagnosis of ectopic pregnancy. a review of 109 cases]

ABSTRACT

To assess the accuracy of Ultrasonographic diagnosis of ectopic pregnancies. A retrospective study of Ultrasonographic findings of 109 patients operated for ectopic pregnancy between January 1997 and December 1998. Ultrasonography was performed with an Aloka SSD 620 sonographic imager and a 5 MHz endovaginol transducer. All patients had a transvaginal sonography. Of these, 15 had a transobdominal sonogrophy. Ultrasonographic findings of the 109 ectopic pregnancies were on extrauterine gestotionnal sac in 10 cases [9,17%], on adnexel mass clearly separated from uterus and ovary in 87 cases [79,81%], a pelvic fluid in 90 cases [82,56%] and pseudogestationnal sac in 6 cases. Ultrasonographic established the diagnosis of ectopic pregnancy in 89% of cases. Serum B HCG level was needed for diagnosis in 12 cases [11%]. Transvaginal sonography is the method of choice for the evaluation of women with a suspected ectopic pregnancy. However, serum B HCG levels are useful for diagnosis in 11% of cases