2. Significance of Sonography in Assessment of Ectopic Pregnancy
Nasir Mahmood1, Kishwar Naheed2, Zille Huma2, Aqeel Ahmed2, Huda A Majeed2 and Zahir Mustafa3
ABSTRACT
Objective: To assess the role of sonography in the assessment of ectopic pregnancy and to discover additional advantages of TVS over the TAS.
Study Design: Prospective study
Place and Duration of Study: This study was conducted at the Departments of Radiology & Obstetrics and Gynecology, Pak Red Crescent Teaching Hospital, Kasur from March 2013 to March 2018.
Materials and Methods: 100 women with clinical suspicion of ectopic pregnancy were assessed through sonography. Sonography information was correlated with the post surgical histopathology diagnosis to find out specificity, sensitivity and predictive value of sonography.
Results: Among 100 patients, 25.4% had pelvic inflammatory disease, 7.4% had previous history of ectopic pregnancy, 2.6% had tubal surgery and 1.8% patient had in vitro fertilization while most of the patients (80.0%) had no any risk factor. Among ONE HUNDRED patients, 47 cases were diagnosed with ectopic pregnancy (true positive results). The ectopic pregnancy unambiguous diagnosis was reached with transabdominal sonography in just 29.0% patients while remaining 71.0% patient needed biphasic sonography. For the diagnosis of ectopic pregnancy, sensitivity was 94.0% and specificity 100.0% while positive predictive value was 100.0% and negative predictive value was 63.0%.
Conclusion: Study concluded that accuracy of ultrasonography was almost 100% especially the trans-vaginal sonography which is believed as a procedure of choice in early gestation and reliable workup in women having suspected ectopic gestation.
Key Words: Ectopic pregnancy (EP), Transvaginal Sonography ( TVS), Transabdominal sonography TAS
Citation of articles: Mahmood N, Naheed K, Huma Z, Ahmed A, Majeed HA, Mustafa Z. Significance of Sonography in Assessment of Ectopic Pregnancy. Med Forum 2018;29(12):6-9.