Ectopic Pregnancy Free Fluid Ultrasound

Free fluid in morison s pouch in the context of an ectopic pregnancy is highly suggestive that operative management will be necessary 20.

Ectopic pregnancy free fluid ultrasound. Peritoneal fluid in the pouch of douglas pod on transvaginal ultrasound scan tvs is associated with hemoperitoneum in women with ectopic pregnancy ep. Pain may also spread to the shoulder if bleeding into the abdomen has occurred. Extrauterine findings of ectopic pregnancy at transvaginal us. J ultrasound med 1993 12 145 151.

Signs and symptoms classically include abdominal pain and vaginal bleeding but fewer than 50 percent of affected women have both of these symptoms. Free fluid in the hepatorenal recess. The pain may be described as sharp dull or crampy. What has really changed.

Importance of echogenic fluid. Gynecology was consulted for emergent operative management of suspected ruptured ectopic pregnancy with hemorrhagic shock and the patient was taken to the operating room. 100 specific but only seen in a minority of cases. Pelvic hemorrhage is a more specific finding with an 86 93 positive predictive value when β hcg levels are abnormal 14 28.

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. Whole blood on a point of care pregnancy test was positive 1 and a bedside fast demonstrated free intraperitoneal fluid in the hepatorenal recess with large free pelvic fluid. The significance of free fluid ff with intrauterine pregnancies iup has not been studied. Sonographic diagnosis of ectopic pregnancy with endovaginal probes.

The objective was to define prevalence of ff in women with iup and to assess its relationship. 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. Ectopic pregnancy is a complication of pregnancy in which the embryo attaches outside the uterus. And 47 2 and 92 3.

Interrogation of the right upper quadrant for free fluid reduces time to diagnosis 21. Nygberg da hughes mp mack la wang ky.