Abstract
In developing countries the high incidence of anaemia and pelvic infection often makes the diagnosis of ectopic pregnancy difficult. Culdocentesis has been used in 100 doubtful cases out of 144 consecutive cases of ectopic pregnancy. The preoperative diagnosis was correct in 93 out of the 100 cases. There were three false-negative and four false-positive results; only two unnecessary laparotomies were performed. It is suggested that culdocentesis has an essential place in the early diagnosis of doubtful or atypical ectopic pregnancy. It was simple, safe, and reliable. Owing to earlier diagnosis maternal mortality and morbidity and the duration of stay in hospital have all been reduced.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ARMSTRONG J. T., WILLS S. H., MOORE J., LAUDEN A. E. Ectopic pregnancy; a review of 481 cases. Am J Obstet Gynecol. 1959 Feb;77(2):364–370. [PubMed] [Google Scholar]
- BOBROW M. L., WINKELSTEIN L. B. The value of centesis as a diagnostic procedure in ruptured ectopic gestation. Am J Obstet Gynecol. 1955 Jan;69(1):101–109. doi: 10.1016/s0002-9378(16)37917-0. [DOI] [PubMed] [Google Scholar]
- Boyce E., Rollins P. R. The endometrium in ectopic pregnancy. A search for the Arias-Stella reaction. Am J Obstet Gynecol. 1966 Jun 1;95(3):327–329. doi: 10.1016/0002-9378(66)90107-4. [DOI] [PubMed] [Google Scholar]
- Fielding W. L., Kennedy R. K., Gillies R. W. Extrauterine pregnancy: statistical review of 160 cases. Obstet Gynecol. 1965 Nov;26(5):702–707. [PubMed] [Google Scholar]
- Hassim A. M. Rupture of a diverticulum of the uterus. Am J Obstet Gynecol. 1968 Aug 15;101(8):1132–1134. doi: 10.1016/0002-9378(68)90361-x. [DOI] [PubMed] [Google Scholar]
- Kobayashi M., Hellman L. M., Fillisti L. P. Ultrasound. An aid in the diagnosis of ectopic pregnancy. Am J Obstet Gynecol. 1969 Apr 15;103(8):1131–1140. [PubMed] [Google Scholar]
- RIVA H. L., KAMMERAAD L. A., ANDRESON P. S. Ectopic pregnancy. Report of 132 cases and comments on the role of the culdoscope in diagnosis. Obstet Gynecol. 1962 Aug;20:189–198. [PubMed] [Google Scholar]
- SCHIFFER M. A. A review of 268 ectopic pregnancies. Am J Obstet Gynecol. 1963 May 15;86:264–270. doi: 10.1016/0002-9378(63)90441-1. [DOI] [PubMed] [Google Scholar]