How is ectopic pregnancy diagnosed using Culdocentesis?

Culdocentesis is a procedure used to diagnose the presence of ruptured ectopic pregnancy by evaluating for hemoperitoneum by inserting a needle and drawing back fluid from the

.

What is a positive finding of culdocentesis if positive ectopic pregnancy?

In a woman suspected of having an ectopic gestation, the aspiration of nonclotting, bloody fluid has a positive predictive value of about 85% for the presence of EP.

How is culdocentesis performed?

During a culdocentesis a long thin needle is inserted through the vaginal wall just below the uterus and a sample is taken of the fluid within the abdominal cavity. Culdocentesis is a procedure which checks for abnormal fluid in the space that is just behind the vagina, the posterior cul-de-sac.

How is ectopic pregnancy clinically diagnosed?

The clinical diagnosis of ectopic pregnancy is based on a combination of serum quantitative human chorionic gonadotropin levels and transvaginal ultrasound findings. Overview — The most common clinical presentation of ectopic pregnancy is first-trimester vaginal bleeding and/or abdominal pain [2].

What are the indications for culdocentesis?

• Pelvic Inflammatory Disease.
• Ectopic Pregnancy.
• Ovarian Cyst Rupture.
• Emergent Management of Ectopic Pregnancy.
• Early Pregnancy Loss.
• Gynecologic Pain.

Why is Culdocentesis done?

Culdocentesis is a procedure used to diagnose the presence of ruptured ectopic pregnancy by evaluating for hemoperitoneum by inserting a needle and drawing back fluid from the pouch of Douglas.

What is positive Culdocentesis?

A culdocentesis can confirm if the fluid is blood. Approximately 65% to 70% of patients who have a stable presentation and unruptured ectopic pregnancy have a positive culdocentesis. A culdocentesis is indicated if ultrasonography or laparoscopy is not readily available.

Can ectopic pregnancy be detected?

An ectopic pregnancy is usually diagnosed by carrying out a transvaginal ultrasound scan. This involves inserting a small probe into your vagina. The probe is so small that it’s easy to insert and you won’t need a local anaesthetic.

What Culdocentesis means?

Definition. Culdocentesis is a procedure that checks for abnormal fluid in the space just behind the vagina . This area is called the cul-de-sac.

What does fluid in the pelvis indicate?

Sonography commonly detects free intraperitoneal fluid within the posterior cul- de-sac. Although nonspecific, this finding may suggest significant underlying pelvic pathology such as pelvic inflammatory disease, ectopic pregnancy, or a ruptured ovarian cyst [1-4].

When is ectopic pregnancy usually detected?

An ectopic pregnancy doesn’t always cause symptoms and may only be detected during a routine pregnancy scan. If you do have symptoms, they tend to develop between the 4th and 12th week of pregnancy.

What are four 4 expected findings of an ectopic pregnancy?

sharp waves of pain in the abdomen, pelvis, shoulder, or neck. severe pain that occurs on one side of the abdomen. light to heavy vaginal spotting or bleeding. dizziness or fainting.

At what hCG level can ectopic be seen?

An ectopic pregnancy can be suspected if the transvaginal ultrasound examination does not detect an intrauterine gestational sac when the β-hCG level is higher than 1,500 mIU per mL.

Does Culdocentesis hurt?

You may have an uncomfortable, cramping feeling. You will feel a brief, sharp pain as the needle is inserted.

What is Culdoscopy surgery?

Culdoscopy is a type of vaginal sterilization procedure (the other type is colpotomy). Also known as transvaginal hydrolaparoscopy, culdoscopy is considered to be minimally invasive surgery. The vaginal method of tubal ligation was once the preferred technique.

Why is blood in Culdocentesis non clotting?

Nonclotting blood indicates active bleeding from a ruptured ectopic pregnancy. Clotting blood indicates blood from the vein or artery during an aspiration. The presence of pus indicates an infection, such as pelvic inflammatory disease.