Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic Pregnancy
To correlate Beta Hcg Levels with transvaginal sonographic features of ectopic pregnancy Methods: In this prospective study 204 patients with confirmed diagnosis of ectopic pregnancy (EP), by both trasnvaginal sonography (TVS) and histopathology were included . Results of TVS and serum βHCG levels w...
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| Format: | Article |
| Language: | English |
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Rawalpindi Medical University
2017-03-01
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| Series: | Journal of Rawalpindi Medical College |
| Subjects: | |
| Online Access: | https://www.journalrmc.com/index.php/JRMC/article/view/111 |
| _version_ | 1818787157181988864 |
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| author | Uzma Saeed |
| author_facet | Uzma Saeed |
| author_sort | Uzma Saeed |
| collection | DOAJ |
| description | To correlate Beta Hcg Levels with
transvaginal sonographic features of ectopic
pregnancy
Methods: In this prospective study 204 patients
with confirmed diagnosis of ectopic pregnancy (EP),
by both trasnvaginal sonography (TVS) and
histopathology were included . Results of TVS and
serum βHCG levels were obtained. Other variables
were age, gestational age, size, site and volume of
EP, fetal cardiac activity and presence or absence of
pelvic ascites.
Results: Sensitivity and specificity of TVS for
detection of EP was 98% and 87.5% respectively. The
values of median and range for the age, gestational
age, βHCG and volume of EP were 29 (17-43) years,
5(4-6) weeks, 3248.5 (14-53048) IU/L, 8648.36 (268-
80491) mm3 respectively. Most common site of EP
was adnexa (93.6%) and most common side was right
(52%). Fetal cardiac activity was evident in 4.4%
cases and pelvic ascites was present in 64.7% cases.
There was no significant difference between two
βHCG groups (<2000, >2000) in terms of qualitative
and quantitative variables except the volume of EP
which was significantly different among groups (p
value <0.0001).
Conclusion: Serum βHCG level alone cannot
diagnose or exclude EP confidently and it is
significantly correlated with the size of EP. The
combination of serum βHCG and TVS provide
highly accurate diagnostic information. |
| first_indexed | 2024-12-18T14:03:18Z |
| format | Article |
| id | doaj.art-d00cac2b6ec84326a884e776864a2813 |
| institution | Directory Open Access Journal |
| issn | 1683-3562 1683-3570 |
| language | English |
| last_indexed | 2024-12-18T14:03:18Z |
| publishDate | 2017-03-01 |
| publisher | Rawalpindi Medical University |
| record_format | Article |
| series | Journal of Rawalpindi Medical College |
| spelling | doaj.art-d00cac2b6ec84326a884e776864a28132022-12-21T21:05:18ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702017-03-01211Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic PregnancyUzma Saeed0Department of Radiology,Dallah Hospital,Riyadh, Saudi ArabiaTo correlate Beta Hcg Levels with transvaginal sonographic features of ectopic pregnancy Methods: In this prospective study 204 patients with confirmed diagnosis of ectopic pregnancy (EP), by both trasnvaginal sonography (TVS) and histopathology were included . Results of TVS and serum βHCG levels were obtained. Other variables were age, gestational age, size, site and volume of EP, fetal cardiac activity and presence or absence of pelvic ascites. Results: Sensitivity and specificity of TVS for detection of EP was 98% and 87.5% respectively. The values of median and range for the age, gestational age, βHCG and volume of EP were 29 (17-43) years, 5(4-6) weeks, 3248.5 (14-53048) IU/L, 8648.36 (268- 80491) mm3 respectively. Most common site of EP was adnexa (93.6%) and most common side was right (52%). Fetal cardiac activity was evident in 4.4% cases and pelvic ascites was present in 64.7% cases. There was no significant difference between two βHCG groups (<2000, >2000) in terms of qualitative and quantitative variables except the volume of EP which was significantly different among groups (p value <0.0001). Conclusion: Serum βHCG level alone cannot diagnose or exclude EP confidently and it is significantly correlated with the size of EP. The combination of serum βHCG and TVS provide highly accurate diagnostic information.https://www.journalrmc.com/index.php/JRMC/article/view/111PregnancyEctopicChorionic GonadotropinTransvaginal ultrasonography |
| spellingShingle | Uzma Saeed Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic Pregnancy Journal of Rawalpindi Medical College Pregnancy Ectopic Chorionic Gonadotropin Transvaginal ultrasonography |
| title | Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic Pregnancy |
| title_full | Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic Pregnancy |
| title_fullStr | Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic Pregnancy |
| title_full_unstemmed | Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic Pregnancy |
| title_short | Correlating Serum Beta hCG Levels with Transvaginal Sonographic Features of Ectopic Pregnancy |
| title_sort | correlating serum beta hcg levels with transvaginal sonographic features of ectopic pregnancy |
| topic | Pregnancy Ectopic Chorionic Gonadotropin Transvaginal ultrasonography |
| url | https://www.journalrmc.com/index.php/JRMC/article/view/111 |
| work_keys_str_mv | AT uzmasaeed correlatingserumbetahcglevelswithtransvaginalsonographicfeaturesofectopicpregnancy |