CORRELATION OF ULTRASOUND AND SURGICAL FINDINGS IN SUSPECTED ECTOPIC PREGNANCY AT KNH
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Objectives

To establish the accuracy of ultrasound in the evaluation of suspected ectopic pregnancy.

 

Study design

Prospective descriptive study.

 

 

Setting of study

Kenyatta National Hospital

 

 

Subjects studied

73 patients who were diagnosed to have an ectopic pregnancy on the basis of ultrasound and later underwent laparotomy to confirm the diagnosis from September 2008 to February 2009.

 

Results of the study

112 patients were assessed by ultrasound after clinical suspicion of ectopic pregnancy.  73 of them had ectopic pregnancy on the basis of ultrasound.  Among these, 72 were confirmed on laporatomy to have an ectopic pregnancy, and 1 patient had a ruptured corpus luteum cyst.

 

In this study, the most common site of ectopic pregnancy was the fallopian tubes.  Results confirmed on laparotomy showed that positive diagnoses by ultrasound were made in 98.6% of cases and false diagnoses in 1.4% of cases.

 

 

Conclusion

 

The results showed that pelvic ultrasound is a reliable method for diagnosis of ectopic pregnancy with high sensitivity, specifity, positive and negative predictive value.