Document Detail


The multiple ultrasound patterns of ectopic pregnancy.
MedLine Citation:
PMID:  19534088     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ectopic pregnancy (EP) has a variable and misleading clinical presentation contributing to the confusion with medical or other gynecological disorders. The rapid recourse to diagnostic methods, human chorionic gonadotropin (beta-hCG) titers and transvaginal ultrasonography, represents the best approach not only in the early diagnosis but also in the management and monitoring of patients with diagnosed EP. The purpose of this article is to provide a pictorial essay about EP and its multiple ultrasound (US) patterns. We present a large spectrum of EP aspects diagnosed on US and confirmed by pathology. We also review miscellaneous gynecologic diseases that may mimic EP on US. Although endovaginal US combined with quantitative (beta-hCG) analysis is an excellent tool for identifying EP, it may be normal sometimes in early pregnancies. Knowledge of all these patterns is helpful in establishing an early correct diagnosis, therefore leading to elective and conservative management in stable patients and preventing tubal rupture or substantial hemorrhage.
Authors:
Roula Hourani; Kamal Hachem; Soha Haddad-Zebouni; Fersan Mansour; Abdo Elhage; Antoine Checrallah; Michel A Ghossain
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Le Journal médical libanais. The Lebanese medical journal     Volume:  56     ISSN:  0023-9852     ISO Abbreviation:  J Med Liban     Publication Date:    2008 Jan-Mar
Date Detail:
Created Date:  2009-06-18     Completed Date:  2009-07-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375352     Medline TA:  J Med Liban     Country:  Lebanon    
Other Details:
Languages:  eng     Pagination:  27-34     Citation Subset:  IM    
Affiliation:
Department of Radiology, CHU Hôtel-Dieu de France, Alfred Naccache Boulevard, Achrafieh, Beirut, Lebanon.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Chorionic Gonadotropin / blood
Diagnosis, Differential
Endosonography*
Fallopian Tubes / pathology,  ultrasonography
Female
Genital Diseases, Female / ultrasonography
Humans
Pregnancy
Pregnancy, Ectopic / pathology,  ultrasonography*
Pregnancy, Multiple
Pregnancy, Tubal / pathology,  ultrasonography*
Sensitivity and Specificity
Ultrasonography, Prenatal*
Chemical
Reg. No./Substance:
0/Chorionic Gonadotropin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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