Ultrasonographic diagnosis of ectopic pregnancy: importance of transabdominal imaging

H L Zinn, H L Cohen, D L Zinn
Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine 1997, 16 (9): 603-7
Endovaginal sonography has greatly improved the diagnostic evaluation of suspected ectopic pregnancy. Some authors suggest imaging solely by endovaginal technique for diagnosis. We perform both a transabdominal scan for a global view of the pelvic and abdominal contents and an endovaginal sonographic examination for a higher resolution and focused view of the gynecologic structures. We report three patients with negative endovaginal examinations who had obvious ectopic pregnancies on our subsequent transabdominal examination. These cases remind us of the valuable information that can be obtained with the transabdominal approach and the complementary role it plays with endovaginal sonography.

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