• A Chechia, A Koubâa, K Terras, N Bahri, and T Makhlouf.
• Service de gynécologie obstétrique a, EPS Charles Nicolle.
• Tunis Med. 2000 Oct 1;78(10):589-94.

ObjectiveTo assess the accuracy of ultrasonographic diagnosis of ectopic pregnancies.MethodsA retrospective study of ultrasonographic findings of 109 patients operated for ectopic pregnancy between january 1997 and december 1998. Ultrasonography was performed with an Aloka SSD 620 sonographic imager and a 5 MHz endovaginal transducer.ResultsAll patients had a transvaginal sonography. Of these, 15 had a transabdominal sonography. Ultrasonographic findings of the 109 ectopic pregnancies were an extrauterine gestational sac in 10 cases (9.17%), an adnexel mass clearly separated from uterus and ovary in 87 cases (79.81%), a pelvic fluid in 90 cases (82.56%) and pseudogestational sac in 6 cases. Ultrasonography established the diagnosis of ectopic pregnancy in 89% of cases. Serum B HCG level was needed for diagnosis in 12 cases (11%).ConclusionTransvaginal sonography is the method of choice for the evaluation of women with a suspected ectopic pregnancy. However, serum B HCG levels are useful for diagnosis in 11% of cases.

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