ECTOPIC PREGNANCY AND ITS DIAGNOSIS BY TRANSVAGINAL SCAN

Objective: To assess the worth of transvaginal sonography in the evaluation of women with assumed ectopic pregnancy (EP) which is considered a life-threatening condition in early pregnancy. Design: It is a descriptive study. Place and Duration: This study was carried out in the department of radiology of Nishtar hospital Multan, from February 2017 to August 2017. Patients and Methods: During study, total 7155 successive females were presented to the radiology department. Out of these, one hundred (100) were detailed for non-probability convenience sampling. Pelvic ultrasound examination was performed on these selected patients. Transvaginal and transabdominal scans were also carried out simultaneously. Serum beta hCG levels of every patient were more than 1500 iu/ml. Results: Ectopic pregnancy (EP) was confirmed by Ultrasound in 34 patients. EP was confirmed in 24 patients by Transvaginal sonography whereas 09(nine) patients were confirmed EP by transabdominal scan. Ultrasound diagnosis results were as follows. 16 patients were diagnosed with adnexal mass whereas ecogenic ring was found in10 patients. Intrauterine fluid was detected in 21 patients, extrauterine gestational sac was found in 04 patients and 01 patients was diagnosed with live embryo. Conclusion: Well-timed diagnosis of ectopic pregnancy with the help of transvaginal sonography (TVS) and serum beta hCG is recommended for the women to decrease the mortality rate due to pregnancy related complications. Keywords: Ectopic pregnancy, Transvaginal scan, Transabdominal scan