Hallazgos de la ultrasonografía transvaginal en la enfermedad ginecológica quirúrgica aguda. Hospital José Carrasco Arteaga. Cuenca. 2015-2019.

Abstract

Background: Transvaginal ultrasonography is the most useful imaging test to differentiate acute gynecological pathological conditions, and to a large extent influences the decision of surgical or medical treatment of these multiple diseases. Objective: to identify the ultrasonographic findings in acute surgical gynecological disease in patients treated at the José Carrasco Arteaga Hospital, during the period January 2015 to December 2019. Materials and methods: quantitative, observational, retrospective, descriptive and cross-sectional study. 291 medical records of women who met the inclusion criteria were included. The information was analyzed using the statistical program SPSS version 15.0, applying descriptive statistics. Results: 79.4% of women diagnosed with acute gynecological pathologies with surgical resolution were between 20 and 39 years old, 64.6% were multiparous and 51.5% nulliparous, 38.5% used hormonal contraceptives. Ectopic pregnancy was the most frequent diagnosis in 47.1%, followed by hemorrhagic cyst in 23.7% and neoplastic lesions with 18.2%. Among the ultrasound characteristics of ectopic pregnancy, hemoperitoneum was the most representative in 24.7%; Regarding the hemorrhagic cyst, the cystic lesion with reticular echoes was the most common in 19.2%; free fluid in the cavity with 6.2% was the most representative sign of pelvic inflammatory disease; in ovarian torsion, the increase in ovary volume showed 5.2%. Histopathology revealed that ectopic pregnancy represented 57.4%, followed by hemorrhagic cyst with 5.2%.