| Culdocentesis followed by saline solution-enhanced ultrasonography: technique for evaluation of suspected ectopic pregnancy. | |
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MedLine Citation:
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PMID: 20656566 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: To evaluate the use of a technique consisting of culdocentesis followed by saline solution-enhanced pelvic ultrasonography in cases suspect for ectopic pregnancy in which an accurate diagnosis could not be made using routine transvaginal ultrasound. DESIGN: Retrospective clinical study (Canadian Task Force classification III). SETTING: Academic medical center. PATIENTS: Twenty patients with an initial diagnosis of pregnancy of unknown location. INTERVENTIONS: In 20 patients with symptoms of early pregnancy and serum quantitative human chorionic gonadotropin concentration, ectopic pregnancy could not be confirmed or ruled out. Transvaginal ultrasound-guided culdocentesis was performed, and 300 to 400 mL of normal saline solution was injected into the posterior cul-de-sac and pelvis. Transvaginal ultrasound was repeated with particular attention to the floating fallopian tubes MEASUREMENTS AND MAIN RESULTS: Using this technique, a tubal pregnancy was visualized in 15 of 20 patients, and ectopic pregnancy was ruled out in 5 patients. In all patients, appropriate management was provided according to the final diagnosis, and consisted of either methotrexate, laparoscopic salpingostomy or salpingectomy, or expectant management in patients with abnormal intrauterine pregnancies. CONCLUSION: Ultrasound-guided culdocentesis followed by saline solution-enhanced pelvic ultrasound can be considered as a diagnostic tool in patients with suspected ectopic pregnancy in whom other methods fail to demonstrate this diagnosis. |
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Authors:
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Tamer M Yalcinkaya; Shon P Rowan; Munire Erman Akar |
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Publication Detail:
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Type: Journal Article Date: 2010-07-24 |
Journal Detail:
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Title: Journal of minimally invasive gynecology Volume: 17 ISSN: 1553-4650 ISO Abbreviation: J Minim Invasive Gynecol Publication Date: 2010 Nov-Dec |
Date Detail:
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Created Date: 2010-10-19 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101235322 Medline TA: J Minim Invasive Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 754-9 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 AAGL. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Departments of Obstetrics and Gynecology, Wake Forest University School of Medicine, Winston-Salem, North Carolina. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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