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GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE

A Journal on Internal Medicine and Pharmacology


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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2000 August;159(4):135-7

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Ultrasound diagnosis of ectopic pregnancy. A new role for the transvaginal method

Tomasillo G., Longo M., Armentano M., Di Mauro A., Maisto V., Miele A. S., Zarcone R.

Seconda Università degli Studi - Napoli, Clinica Ostetrica e Ginecologica, Azienda Sanitaria Locale NA 1, Presidio Ospedaliero San Paolo, Divisione di Ginecologia e Ostetricia


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The incidence of ectopic pregnancies has risen significantly over the past few years, prompting the development of increasingly sensitive and specific instrumental and laboratory methods to allow its early diagnosis. Transvaginal ultrasonography is currently the most important method used to obtain an early diagnosis. This study aimed to evaluate the role of transvaginal ultrasonography and its diagnostic sensitivity.
Methods. 30 patients with suspected ectopic pregnancy were examined using transabdominal and transvaginal ultrasonography.
Results. The results were strongly convincing in 25 patients, indicating a tubal pregnancy, but a gestational sac in the adnexal site was only clearly evident in 32% of the cases examined with transabdominal ultrasonography compared to 64% in those examined using the transvaginal method. This difference was statistically significant (p<0.01).
Conclusions. The greater resolutive power of the transvaginal technique allows an earlier diagnosis of ectopic pregnancy, protecting the patient’s reproductive future and reducing the morbidity and mortality linked to this pathology.

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