Abstract
Introduction: Sonography has become an important tool in the diagnosis of suspected ectopic pregnancy1. Ultrasonography is a cheap, widely available, simple, rapid and noninvasive diagnostic modality for fast detection, presence and location of pregnancy.
Objective: To compare transabdominal and transvaginal sonography in the diagnosis of ectopic pregnancy.
Study Design: Cross-sectional analytic study.
Study Setting: The study was conducted in VIMSAR, BURLA in the Department of Radiodiagnosis.
Study Duration: Study duration was from 1st September 2017 to 31st September 2018.
Subjects and Methods: 50 patients were included in the study. All women with suspension of ectopic pregnancy were evaluated by both transabdominal and transvaginal sonography. Diagnosis made transabdominal and transvaginal sonography ultrasound was confirmed by histopathology.
Results: Ultrasonographic findings of ectopic pregnancy were seen, including presence of extra uterine gestational sac or complex mass 94 %, absence of gestational sac in uterus 86%, fluid in the pouch of douglus 66%, thick endometrial lining or pseudo gestational sac 34%, enlargement of uterus 8%. More than one finding was seen in several patients.Most common age group with pelvic masses was between 26-30 years.
Conclusion: This study shows that transvaginal ultrasonography is superior to transabdominal ultrasonography for early detection of ectopic pregnancy.
Keywords: Ectopic pregnancy, TAB (Transabdominal ultrasound), TVS (Transvaginal ultrasound)
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Corresponding Author
Dr Ruplesh Mahato
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