Cornual Ectopic Pregnancy Diagnosed by Emergency Physician-Performed Bedside Ultrasound in the Emergency Department

Noble, Vicki E.; Liteplo, Andrew S.; Miller, Robert M.; Murray, Alice F.; Villén, Tomás

doi:10.1016/j.jemermed.2008.04.033

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…Our institutional cut‐off of 8 mm and the ACEP (American College of Emergency Physicians) policy of 5–7 mm achieves higher sensitivity, accepting that more false positive scans might occur 4,8 . Previous literature has discussed this diagnosis made in the ED by EPs using bedside ultrasound 9,10 . Duong et al .…”

Section: Discussionmentioning

confidence: 90%

Interstitial ectopic pregnancy presenting after failed termination of pregnancy

Egan

Lewiss

2012

Emerg Medicine Australasia

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Pregnant women frequently present to the ED for complaints related to the first trimester of pregnancy. The emergency physician must confirm the presence of an intrauterine pregnancy for many such complaints. Bedside ultrasound with well-delineated criteria has become standard practice for many emergency physicians for this purpose. In the following case report, an interstitial pregnancy was identified by the emergency physician using bedside sonography in a 29-year-old woman presenting 2 weeks after dilation and aspiration for termination of pregnancy. The ED physician identified an inappropriately thin endomyometrial mantle raising suspicion for the diagnosis of an interstitial pregnancy. The case illustrates the importance of this uterine wall measurement given the otherwise normal appearance of a pregnancy within the uterus.

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Section: Discussionmentioning

confidence: 90%

Interstitial ectopic pregnancy presenting after failed termination of pregnancy

Egan

Lewiss

2012

Emerg Medicine Australasia

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“…In a 2007 review article on ectopic pregnancy, Levine 1 acknowledged a 5‐mm threshold for the surrounding endomyometrial thickness and simultaneously noted that the specificity of this particular measurement had not been well investigated. Finally, 3 recent case reports emphasize how an interstitial pregnancy diagnosis was made when the clinician measured a thin endomyometrial mantle 18 – 20 . In all 3 cases, the emergency physician saw a gestational sac eccentrically located outside the uterine cavity, measured an endomyometrial mantle of less than 8 mm, and obtained an emergent obstetrician‐gynecologist consultation.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Finally, 3 recent case reports emphasize how an interstitial pregnancy diagnosis was made when the clinician measured a thin endomyometrial mantle. [18][19][20] In all 3 cases, the emergency physician saw a gestational sac eccentrically located outside the uterine cavity, measured an endomyometrial mantle of less than 8 mm, and obtained an emergent obstetrician-gynecologist consultation. An interstitial pregnancy was confirmed at surgery for 2 of the patients, and rupture occurred after consultation, discharge, and presentation to another hospital in the third.…”

Section: Literature Reviewmentioning

confidence: 99%

The Endomyometrial Thickness Measurement for Abnormal Implantation Evaluation by Pelvic Sonography

Lewiss

Shaukat

Saul

2014

J of Ultrasound Medicine

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Emergency physicians, obstetrician‐gynecologists, and other medical specialists use pelvic sonography when caring for patients presenting with early pregnancy‐related symptoms. A thin endomyometrial mantle and eccentric placement of a gestational sac should raise the suspicion for an abnormally implanted pregnancy. In such cases, an interstitial ectopic pregnancy or a cornual pregnancy, two clinically distinct entities, must be considered. This article reviews the literature and guidelines on the sonographic measurement of the endomyometrial mantle as a criterion for determining a pregnancy at risk for an abnormal implantation location. We sought to clarify the history and evolution of this measurement to determine what should be considered an abnormal measurement and to understand its diagnostic utility and management implications for the clinician using sonography.

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Cornual Ectopic Pregnancy Diagnosed by Emergency Physician-Performed Bedside Ultrasound in the Emergency Department

Cited by 2 publications

References 7 publications

Interstitial ectopic pregnancy presenting after failed termination of pregnancy

Interstitial ectopic pregnancy presenting after failed termination of pregnancy

The Endomyometrial Thickness Measurement for Abnormal Implantation Evaluation by Pelvic Sonography

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