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Ectopic Pregnancy: Ultrasound Diagnosis in Modern Management

CASIKAR, ISHWARI MBBS; REID, SHANNON MBBS; CONDOUS, GEORGE MD

Clinical Obstetrics & Gynecology: June 2012 - Volume 55 - Issue 2 - p 402–409
doi: 10.1097/GRF.0b013e31825109bd
Ectopic Pregnancy

Ectopic pregnancy (EP) continues to be the number one cause of maternal deaths in the first trimester of pregnancy. Over the past 30 years, several key developments including accurate and rapid serum human chorionic gonadotrophin assays, the introduction of high-resolution transvaginal probes and more recently tertiary hospital Early Pregnancy Units have changed the management of EPs. Early transvaginal ultrasound diagnosis of EP not only potentially decreases mortality and surgical intervention rates, but also promotes modern management options including expectant or medical management. The aim of this review is to demonstrate that transvaginal ultrasound is the new ‘gold standard’ diagnostic tool of choice for all forms of EP.

Acute Gynaecology, Early Pregnancy and Advanced Endosurgery Unit, Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Penrith, Sydney, New South Wales, Australia

The authors declare that they have nothing to disclose.

Correspondence: Ishwari Casikar, MBBS, Acute Gynaecology, Early Pregnancy and Advanced Endosurgery Unit, Sydney Medical School Nepean, University of Sydney, Nepean Hospital, Penrith, Sydney, NSW, Australia. E-mail: i_vidyasagar@hotmail.com

© 2012 Lippincott Williams & Wilkins, Inc.