Research Article
Volume 10 Issue 12 - 2021
Can Transvaginal Sonography Promote Management of Pregnancy of Unknown Location (PUL) and Reduce Number of βHCG Test?
Amal Alsalamah1* and Sajida Ajjawi2

1Radiology Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester, UK

2Obstetrics and Gynaecology Department, Nottingham University Hospital, Nottingham, UK

*Corresponding Author: Amal Alsalamah, Consultant Sonographer, Radiology Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester, UK.
Received: October 07, 2021; Published: November 20, 2021


Introduction: The management of women with pregnancy of unknown location (PUL) can vary significantly and often lack a clear evidence base. This study aims to improve the diagnosis and management of PUL by evaluating ultrasound images using specific criteria describing the gestation sac.

Method: Retrospective study. Data collected from the medical records of pregnant patients at initial visit to EPU. Data underwent specific ultrasound image criteria in reporting empty gestational sac (GS) and describing deciduae signs.

Result: A total of 69 cases were reviewed and 68 showed empty GS in the initial visit. There were three reports that described GS with double decidual (DD) signs sufficiently. After the image review process, GS DD signs were noted in 25 (69%) cases, one DD sign in 12 (85%), whilst 4 (44%) cases did not demonstrate any DD signs. Moreover, the sensitivity rate of the presence of DD signs and viability as the final outcome was 87.5%.

Conclusion: A well written ultrasound report considering specific criteria in describing intrauterine sac would help in decreasing numbers of PUL from initial visits and subsequently reduce the number of un-necessary laparoscopy and βHCG tests

Keywords: Pregnancy of Unknown Location; Transvaginal Ultrasound; Early Pregnancy; Sac-Like Structure; Intrauterine Gestation; Decidual Sac


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Citation: Amal Alsalamah and Sajida Ajjawi. “Can Transvaginal Sonography Promote Management of Pregnancy of Unknown Location (PUL) and Reduce Number of βHCG Test?”. EC Gynaecology 10.12 (2021): 04-13.

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