Clinician-performed ultrasound diagnosis of ruptured interstitial pregnancy

The American Journal of Emergency Medicine
David DuongAdeyinka Adedipe

Abstract

An interstitial pregnancy is a rare type of ectopic pregnancy located within the proximal portion of the fallopian tube in the muscular wall of the uterus. They are more likely to result in significant or fatal hemorrhage because of the increased vascularity. Diagnosis of interstitial pregnancy is challenging but critical to facilitate prompt and appropriate intervention. Ultrasound performed by an emergency physician is commonly used to assess early pregnancy, but little has been published in the emergency medicine literature regarding its use in assessing for presence of interstitial pregnancy. We describe a case of a ruptured interstitial pregnancy diagnosed by emergency ultrasonography in the emergency department and review the literature regarding the sonographic findings of interstitial pregnancies.

References

Jun 1, 1997·European Journal of Obstetrics, Gynecology, and Reproductive Biology·S HamadaH Takahashi
Jan 6, 2004·Obstetrics and Gynecology·Togas Tulandi, Dania Al-Jaroudi
Nov 11, 2006·Fertility and Sterility·Ann Malinowski, S K Bates

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Citations

Oct 9, 2012·Emergency Medicine Australasia : EMA·Daniel J EganResa E Lewiss
Jun 25, 2014·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Resa E LewissTurandot Saul

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