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- W4295771073 abstract "To correlate the findings of suspected ruptured ectopic pregnancies on TVUS with findings at operative laparoscopy and final histology. This was an 18-month retrospective review of all ruptured ectopic pregnancies from November 2020 to March 2022 identified on TVUS. The scans were performed by different sonographers and clinicians. Cases were identified from our ectopic pregnancy records and operating theatre database. The patients' electronic patient records were reviewed including their operation notes and the final histology report. 19 cases of ruptured ectopic pregnancy were identified on TVUS. Cases of suspected ruptured ectopic pregnancies that underwent laparoscopy based on clinical findings were also excluded. 1/19 cases were excluded as the operation notes were not available. Ages of the patients ranged from 22-42 years and 15/18 of the patients were nulliparous. 10/18 cases were described as ruptured at laparoscopy and 2 cases described as leaking. All ectopics had a salpingectomy performed and hemoperitoneum at operation ranged from 50 to 2100mls. At histological diagnoisis,18/18 cases had evidence of implantation site or trophoblastic tissue and 5/18 cases had a histological diagnosis of a ruptured ectopic pregnancy. The remaining 13 cases did not have a full thickness perforation and diagnosis of ruptured ectopic. True ruptured ectopic pregnancies on ultrasound when correlated to final histology findings are difficult to diagnose. The presence of blood on the ultrasound scan does not correlate to a tubal rupture and the scan findings must be interpreted in the context of the clinical situation to assess need for surgical intervention and salpingectomy. It is very important that patients receive the correct diagnosis and are appropriately counselled. The differing natural histories of these pregnancies must also be appreciated and further understanding of the pathophysiology behind the hemoperitoneum or an alternative diagnosis such as tubal abortion is required." @default.
- W4295771073 created "2022-09-15" @default.
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- W4295771073 date "2022-09-01" @default.
- W4295771073 modified "2023-09-27" @default.
- W4295771073 title "EP40.22: Does an ultrasound diagnosis of ruptured ectopic on transvaginal ultrasound scan correlate with operative and histology findings?" @default.
- W4295771073 doi "https://doi.org/10.1002/uog.25856" @default.
- W4295771073 hasPublicationYear "2022" @default.
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