Advertisement

Transvaginal Colour Doppler Studies of Ectopic Pregnancy

  • D. Jurkovic
  • E. Jauniaux
  • S. Campbell

Abstract

The diagnosis of early pregnancy and its abnormalities has been much improved by the advent of transvaginal ultrasonography. This technique has proved to be particularly useful for the assessment of patients who may have an ectopic pregnancy [19, 21]. The use of transvaginal rather than transabdominal probes increases both the sensitivity and specificity of the procedure [24]. Furthermore, it is possible in most cases to make a positive diagnosis based on the direct observation of an ectopic sac or adnexal mass [4]. In addition, an intra-uterine pregnancy can be detected earlier than by abdominal scanning.

Keywords

Obstet Gynecol Corpus Luteum Ectopic Pregnancy Uterine Artery Adnexal Mass 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Barnea ER, Oelsner G, Benveniste R, Romero R, DeCherney AH (1986) Progesterone, estradiol, and alpha human chorionic gonadotropin secretion in patients with ectopic pregnancy. J Clin Endocrinol Metab 62: 529PubMedCrossRefGoogle Scholar
  2. 2.
    Bourne TH, Jurkovic D, Waterstone J, Campbell S, Collins WP (1991) Intra-follicular blood flow during human ovulation. Ultrasound Obstet Gynecol 1: 53PubMedCrossRefGoogle Scholar
  3. 3.
    Burden HB (1972) Adrenergic innervation in ovaries of the rat and guinea pig. Am J Anat 133: 455PubMedCrossRefGoogle Scholar
  4. 4.
    Cacciatore B, Stenman UH, Ylostalo P (1989) Comparison of abdominal and vaginal sonography in suspected ectopic pregnancy. Obstet Gynecol 73: 770PubMedGoogle Scholar
  5. 5.
    Cacciatore B, Ulf-Hakan S, Ylostalo P (1990) Diagnosis of ectopic pregnancy by vaginal ultrasonography in combination with a discriminatory serum hCG level of 1000IU/1 (IRP). Br J Obstet Gynaecol 97: 904–908PubMedCrossRefGoogle Scholar
  6. 6.
    Collins PW, Jurkovic D, Bourne TH, Kurjak A, Campbell S (1991) Ovarian morphology, endocrine function and intra-follicular blood flow during the peri-ovulatory period. Hum Reprod 6: 319PubMedGoogle Scholar
  7. 7.
    Devroey P, Camus M, Palermo G, Smitz J, Van Waesberghe L, Wisanto A, Wijbo I, Van Steirteghem AC (1990) Placental production of estradiol and progresterone after oocyte donation in patients with primary ovarian failure. Am J Obstet Gynecol 162: 66PubMedGoogle Scholar
  8. 8.
    Emerson DS, Cartier MS, Altieri LA et al (1992) Diagnostic efficacy of endovaginal color Doppler flow imaging in an ectopic pregnancy screening program. Radiology 183: 413–420PubMedGoogle Scholar
  9. 9.
    Hubinont CJ, Thomas C, Schwers JF (1987) Luteal function in ectopic pregnancy. Am J Obstet Gynecol 156: 669PubMedGoogle Scholar
  10. 10.
    Jurkovic D, Jauniaux E, Kurjak A, Hustin J, Campbell S, Nicolaides KH (1991) Transvaginal color Doppler assessment of the uteroplacental circulation in early pregancy. Obstet Gynecol 77: 365PubMedGoogle Scholar
  11. 11.
    Jurkovic D, Bourne TH, Jauniaux E, Campbell S, Collins WP (1992) Transvaginal color Doppler study of blood flow in ectopic pregnancies. Fertil Steril 57: 68PubMedGoogle Scholar
  12. 12.
    Kirchler HC, Kolle D, Schwegel P (1992) Changes in tubal blood flow in evaluating ectopic pregnancy. Ultrasound Obstet Gynecol 2: 283PubMedCrossRefGoogle Scholar
  13. 13.
    Kurjak A, Zalud I, Jurkovic D, Alfirevic Z, Miljan M (1989) Transvaginal color Doppler for the assessment of pelvic circulation. Acta obstet Gynecol Scand 68: 131PubMedCrossRefGoogle Scholar
  14. 14.
    Kurjak A, Zalud I, Schulman (1991) Ectopic pregnancy: transvaginal color Doppler identifies trophoblastic flow in suspicious adnexa. J Clin Ultrasound 10: 685Google Scholar
  15. 15.
    Pellierito JS, Taylor KJW, Quadens-Case C, et al (1992) Ectopic pregnancy: evaluation with endovaginal color flow imaging. Radiology 183: 407Google Scholar
  16. 16.
    Randall S, Buckley H, Fox H (1987) Placentation in the fallopian tube. Int J Gynecol Pathol 6: 132PubMedCrossRefGoogle Scholar
  17. 17.
    Rüssel SA, Filly RA, Damato N (1993) Sonographic diagnosis of ectopic pregnancy with endovaginal probes: What has really changed. J Ultrasound Med 3: 145Google Scholar
  18. 18.
    Schulman H, Fleischer A, Farmakides G, Bracero L, Rochelson B, Grunfeld L (1986) Development of uterine artery compliance in pregnancy as detected by Doppler ultrasound. Am J Obstet Gynecol 155: 1031PubMedGoogle Scholar
  19. 19.
    Shapiro BS, Cullen M, Taylor KJW, DeCherney AH (1988) Transvaginal ultrasonography for the diagnosis of ectopic pregnancy. Fertil Steril 50: 425PubMedGoogle Scholar
  20. 20.
    Steer CV, Campbell S, Pampiglione JS, Kingsland CR, Mason BA, Collins WP (1990) Transvaginal colour flow imaging of the uterine arteries during the ovarian and menstrual cycles. Hum Reprod 5: 391PubMedGoogle Scholar
  21. 21.
    Stiller RJ, Haynes de Regt R, Blair E (1989) Transvaginal ultrasonography in patients at risk for ectopic pregnancy. Am J Obstet Gynecol 161: 930PubMedGoogle Scholar
  22. 22.
    Taylor KJW, Ramos IM, Feyock AL, et al (1989) Ectopic pregnancy: duplex Doppler evaluation. Radiology 173: 93PubMedGoogle Scholar
  23. 23.
    Tekay A, Jouppila P (1992) Color Doppler flow as an indicator of trophoblastic activity in tubal pregnancies detected by transvaginal ultrasound. Obstet Gynecol 80: 995PubMedGoogle Scholar
  24. 24.
    Timor-Tritch IE, Yeh MN, Peisner DB, Lesser KB, Slavik TA (1989) The use of transvaginal sonography in the diagnosis of ectopic pregnancy. Am J Obstet Gynecol 161: 157Google Scholar
  25. 25.
    Wiltbank MC, Gallagher KP, Dysko R, Keyes PL (1989) Regulation of blood flow to the rabbit corpus luteum: effects of estradiol and human chorionic gonadotropin. Endocrinology 124: 605PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1995

Authors and Affiliations

  • D. Jurkovic
  • E. Jauniaux
  • S. Campbell

There are no affiliations available

Personalised recommendations