Ectopic Pregnancy Free Fluid Ultrasound

Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus.

Ectopic pregnancy free fluid ultrasound.

Sonographic diagnosis of ectopic pregnancy with endovaginal probes. What has really changed. Pelvic hemorrhage is a more specific finding with an 86 93 positive predictive value when β hcg levels are abnormal 14 28. And 47 2 and 92 3.

Nygberg da hughes mp mack la wang ky. A retrospective study in 2001 looking at emergency medicine physician performed ultrasound demonstrated that identifying patients with a suspected ectopic pregnancy and free fluid in morison s pouch decreased the time to diagnosis and treatment 2. Peritoneal fluid in the pouch of douglas pod on transvaginal ultrasound scan tvs is associated with hemoperitoneum in women with ectopic pregnancy ep. In a first trimester study of ultrasound features for diagnosis of ectopic pregnancy an empty uterus was found to predict an ectopic pregnancy with a sensitivity of 81 1 and a specificity of 79 5.

Signs and symptoms classically include abdominal pain and vaginal bleeding but fewer than 50 percent of affected women have both of these symptoms. Although the presence of pelvic free fluid within the rectouterine space is nonspecific it is a finding that may help confirm a suspected ectopic pregnancy in lieu of other findings. J ultrasound med 1993 12 145 151. Free fluid in morison s pouch in the context of an ectopic pregnancy is highly suggestive that operative management will be necessary 20.

Interrogation of the right upper quadrant for free fluid reduces time to diagnosis 21. Free fluid in the hepatorenal recess. The pain may be described as sharp dull or crampy. Sensitivity and specificity for a pseudosac adnexal mass and free fluid were as follows.

The significance of free fluid ff with intrauterine pregnancies iup has not been studied. Russell sa filly ra damato n. 100 specific but only seen in a minority of cases. Importance of echogenic fluid.

Pain may also spread to the shoulder if bleeding into the abdomen has occurred. Extrauterine findings of ectopic pregnancy at transvaginal us.