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Ectopic pregnancy: surgical-pathologic correlation with US.
D Rochester1, J S Panella, R B Port
1Department of Diagnostic Radiology, Evanston Hospital, Evanston, IL 60201.
Radiology
|December 1, 1987
Summary
Ultrasound (US) accurately identifies ectopic pregnancy by detecting free fluid and characterizing hematomas. These findings correlate with surgical and pathological results, aiding diagnosis.
Area of Science:
- Reproductive Medicine
- Diagnostic Imaging
Background:
- Ectopic pregnancy diagnosis relies on imaging and clinical correlation.
- Ultrasound is a primary tool for evaluating suspected ectopic pregnancies.
Purpose of the Study:
- To review ultrasound findings in ectopic pregnancy.
- To compare ultrasound results with surgical and pathological outcomes.
Main Methods:
- Retrospective review of 53 ultrasound examinations for ectopic pregnancy.
- Comparison of ultrasound findings with surgical and pathological data.
Main Results:
- Free fluid was the most common finding on ultrasound and during surgery.
- Hematosalpinx showed defined margins, while pelvic hematomas were poorly defined.
- Clot echogenicity varied but was similar to uterine echogenicity.
- Decidual reaction was observed in 26% of patients with diverse appearances.
Conclusions:
- Ultrasound findings, including free fluid and hematoma characteristics, correlate well with surgical and pathological diagnoses of ectopic pregnancy.
- Ultrasound can help differentiate between hematosalpinx and pelvic hematomas.