Adnexal Masses

Petanovski, Zorancho and Kurjak, Asim and Petanovska Kostova, Emilija (2022) Adnexal Masses. Donald School Journal of Ultrasound in Obstetrics and Gynecology, 16 (4). pp. 304-3011. ISSN 0973-614X, eISSN: 0975-1912

Text DSJUOG-16-304.pdf Download (82MB)

Abstract

Fallopian tube inflammatory disease and tubal pregnancy are closely related. Inflammatory disease of the fallopian tubes leads
to the inability for fertilization of the oocyte when the fallopian tube is completely closed; it also makes the path difficult for
the gamete to transfer into the uterine cavity. The possibility of ectopic pregnancy is rising as a result of deformity and reduced
mobility of the fallopian tubes. Most ectopic pregnancies occur in the fallopian tubes and rarely in other structures. It used to be
difficult to diagnose an ectopic pregnancy, but now with two-dimensional (2D)/three-dimensional (3D) ultrasound and serum
β human chorionic gonadotropin (hCG), the diagnosis is easy, and women with an ectopic pregnancy should no longer be in
a situation where this pathological situation is a life-threatening diagnosis. Noninvasive transvaginal ultrasound (TVU) 2D/3D
examination provides an opportunity for rapid selection of patients and candidates for direct laparoscopic (LPSC) access at the
first examination in “everyday” practice. Due to the increased use of high-resolution TVU, around 80% of ectopic pregnancies
are diagnosed on time, without severe abdominal hemorrhage. TVU identification of an adnexal mass, empty uterine cavity, and
positive pregnancy test are the gold standard for diagnosis.
Keywords: Ectopic pregnancy, Fallopian tube inflammatory disease, Positive pregnancy test, Transvaginal
two-dimensional/three-dimensional ultrasound examination.
Donald School Journal of Ultrasound in Obstetrics and Gynecology (2022): 10.5005/jp-journals-10009-1947

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Zoranco Petanovski
Date Deposited:	28 Nov 2023 09:03
Last Modified:	28 Nov 2023 09:03
URI:	https://eprints.ugd.edu.mk/id/eprint/32595

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