Imaging Unusual Pregnancy Implantations: Rare Ectopic Pregnancies and More

Dibble, Elizabeth H.; Lourenço, Ana P.

doi:10.2214/ajr.15.15290

Cited by 48 publications

(40 citation statements)

References 77 publications

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“…Systematic assessment of the pelvis with ultrasound is the first line imaging option for diagnosing HIP. Interstitial line sign observed at transverse plane of the uterine fundus in pelvic ultrasound has 80% sensitivity and 98% specificity for interstitial pregnancy, the finding of which can be difficult to recognize [4,15]. Three-dimensional sonography can improve the detection of interstitial line with reasonable reliability though performing three-dimensional sonography is even more operator dependent than the usual twodimensional ultrasound [16].…”

Section: Discussionmentioning

confidence: 99%

The Challenge in Diagnosing and Managing Heterotopic Interstitial Pregnancy in Natural Conception

Mohamad¹,

Daud²,

Thow³

et al. 2019

JCHS

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Heterotopic interstitial pregnancy in natural conception is very rare. Definitive diagnosis is made by systematic pelvic ultrasound. Simultaneous viable conception observed in both intra- and extra-uterine is pathognomonic of heterotopic interstitial pregnancy. We report a 34-year-old woman primigravida at 10 weeks’ amenorrhoea who underwent evacuation of retained product of conception for missed miscarriage. Intraoperatively, minimal product of conception was retrieved. Bedside pelvic ultrasound showed cystic mass at right superolateral part of uterine fundus suspicious of interstitial pregnancy. Cornual resection was performed via laparotomy. Histopathological examination showed presence of product of conception and interstitial pregnancy. Serum β-human chorionic gonadotropin dropped from 10,027 IU/l on day one post-ERPC to 210 IU/l at day three post-cornual resection. This case report highlighted the challenge in diagnosing heterotopic interstitial pregnancy conceived naturally. Timely diagnosis may avert dire consequences of massive haemorrhage from ruptured uterine cornua.

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Section: Discussionmentioning

confidence: 99%

The Challenge in Diagnosing and Managing Heterotopic Interstitial Pregnancy in Natural Conception

Mohamad¹,

Daud²,

Thow³

et al. 2019

JCHS

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“…Se puede realizar un manejo expectante en pacientes de bajo riesgo y con niveles de ß-hcg bajos o con niveles decrecientes 3,6 .…”

Section: Discussionunclassified

Caso clínico: embarazo ectópico cervical, presentación de un caso clínico.

Llano

Solano

Fernández

2017

Rev. chil. obstet. ginecol.

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RESUMENAntecedentes: El embarazo cervical es una forma rara del embarazo ectópico y representa < 1% de todos los embarazos ectópicos. Objetivo: Se presenta el caso de un embarazo ectópico cervical. Se realiza una revisión literaria sobre las diferentes opciones de manejo y tratamiento. Caso clínico: Mujer de 32 años en la semana 7+4 de embarazo en la que se objetiva un saco gestacional ístmico vascularizado, que ofrece dudas diagnósticas. Se establece el diagnóstico de embarazo ectópico cervical y se realiza un cerclaje por metrorragia. Conclusión: El embarazo ectópico cervical sigue siendo un reto importante en el campo del embarazo. El éxito del tratamiento conservador depende principalmente del diagnóstico precoz, lo que puede reducir las posibilidades de hemorragia grave y de histerectomía.PALABRAS CLAVE: embarazo cervical, cerclaje, metotrexate. ABSTRACTBackground: Cervical pregnancy is a rare type of ectopic pregnancy and it represents <1% of all ectopic pregnancies. Objetive: The case of a cervical ectopic pregnancy is presented. A literary review is carried out on the different management and treatment options. Case report: A 32-year-old woman in week 7 + 4 of pregnancy in which is objetived a vascularized isthmic gestational sac, which ofeers diagnostic doubt. The diagnosis of ectopic cervical pregnancy is established and cercaclage is performed by metrorrhagia. Conclusion: Cervical ectopic pregnancy remains a major challenge in the field of early pregnancy. The success of conservative treatment depends primarily on early diagnosis, which may reduce the chances of severe bleeding and require a hysterectomy.

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“…Unlike other ectopic pregnancies, β-hCG levels and doubling time are normal in heterotopic pregnancy, which is the reason why these pregnancies are difficult to diagnose. [29] Heterotopic pregnancy can be treated with laser ablation of ectopic pregnancy or laparoscopic removal [Figures 11 and 12]. …”

Section: Subtypes Of Ectopic Pregnancy By Locationmentioning

confidence: 99%

Different Sonographic Faces of Ectopic Pregnancy

Chanana

Gupta

Bansal

et al. 2017

Journal of Clinical Imaging Science

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Vaginal bleeding in the first trimester has wide differential diagnoses, the most common being a normal early intrauterine pregnancy, with other potential causes including spontaneous abortion and ectopic pregnancy. The incidence of ectopic pregnancy is approximately 2% of all reported pregnancies and is one of the leading causes of maternal mortality worldwide. Clinical signs and symptoms of ectopic pregnancy are often nonspecific. History of pelvic pain with bleeding and positive β-human chorionic gonadotropin should raise the possibility of ectopic pregnancy. Knowledge of the different locations of ectopic pregnancy is of utmost importance, in which ultrasound imaging plays a crucial role. This pictorial essay depicts sonographic findings and essential pitfalls in diagnosing ectopic pregnancy.

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Imaging Unusual Pregnancy Implantations: Rare Ectopic Pregnancies and More

Abstract: Abnormal pregnancy implantations are life-threatening. Interpreting physicians' familiarity with the appearance of unusual pregnancy implantations is critical for early identification and initiation of appropriate therapy.

Cited by 48 publications

References 77 publications

The Challenge in Diagnosing and Managing Heterotopic Interstitial Pregnancy in Natural Conception

The Challenge in Diagnosing and Managing Heterotopic Interstitial Pregnancy in Natural Conception

Caso clínico: embarazo ectópico cervical, presentación de un caso clínico.

Different Sonographic Faces of Ectopic Pregnancy

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