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Related Experiment Videos

Culdocentesis and ectopic pregnancy.

P S Cartwright, B Vaughn, D Tuttle

    The Journal of Reproductive Medicine
    |February 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Culdocentesis is a valuable tool for diagnosing ectopic pregnancy, even if physical signs are absent. A positive result doesn't always mean tubal rupture, and large internal bleeding can occur without typical symptoms.

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    Area of Science:

    • Gynecology
    • Emergency Medicine
    • Diagnostic Procedures

    Background:

    • Ectopic pregnancy diagnosis can be challenging.
    • Clinical signs may not always correlate with the severity of hemoperitoneum.

    Purpose of the Study:

    • To evaluate the diagnostic utility of culdocentesis in suspected ectopic pregnancy.
    • To assess the correlation between culdocentesis findings and clinical signs.

    Main Methods:

    • Seventy-seven patients with suspected ectopic pregnancy underwent culdocentesis.
    • Data collected included tap results, hematocrit, and clinical signs (hypotension, tachycardia, peritoneal irritation, tubal rupture).

    Main Results:

    • Culdocentesis was positive in 70%, negative in 10%, and inadequate in 20% of cases.

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  • A positive tap correlated with low hematocrit but was often found without hypotension, tachycardia, peritoneal irritation, or tubal rupture.
  • Significant hemoperitoneum (≥500 ml) could exist without peritoneal irritation or other classic signs.

    • Conclusions:

    • Culdocentesis is a valuable diagnostic test for suspected ectopic pregnancy.
    • The absence of tachycardia, hypotension, low hematocrit, or peritoneal irritation should not deter its use.
    • A positive culdocentesis does not confirm tubal rupture, and substantial hemoperitoneum may occur without it.