Cervical ectopic pregnancy diagnosed by point-of-care emergency department ultrasound.
نویسندگان
چکیده
BACKGROUND Although rare, cervical ectopic pregnancy (EP) represents a potentially lethal variation of a common first-trimester disease entity. CASE REPORT We report a case of low abdominal pain and vaginal bleeding diagnosed as a cervical EP by point-of-care ultrasound. CONCLUSION Familiarity with cervical EP and its sonographic appearance is essential for emergency physicians because it can be easily mistaken for an intrauterine pregnancy or other obstetric/gynecologic pathology, such as an incomplete abortion or nabothian cyst. The management of each of these differs substantially, making accurate diagnosis crucial.
منابع مشابه
Mirror Image Artifact Mimicking Heterotopic Pregnancy on Transvaginal Ultrasound: Case Series
Vaginal bleeding in early pregnancy is a common emergency department complaint. Point-of-care ultrasound is a useful tool to evaluate for intrauterine ectopic pregnancy. Emergency physicians performing these studies need to be cognizant of artifacts produced by ultrasound technology, as they can lead to misdiagnosis. We present two cases where mirror-image artifacts initially led to a concern f...
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Women with ectopic pregnancies tend to have lower β-human chorionic gonadotropin (β-hCG) levels than women with intrauterine pregnancies (IUP) [1]. Transvaginal ultrasound (TVUS) is capable of detecting IUPs when β-hCG levels are greater than 1500 mIU/mL, the so-called discriminatory zone [2–4]. When serum β-hCG levels are less than 1500 mIU/mL and no IUP is detected, possibility of ectopic pre...
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Background: Cervical ectopic pregnancy is a rare condition with an incidence of less than 0.1% in all ectopic pregnancies. This life-threatening condition is associated with a high morbidity and mortality rates. Recently, the recommended protocol for the treatment of cervical ectopic pregnancy is fertility preservation rather than invasive surgery and hysterectomy. The aim of t...
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OBJECTIVES Pelvic ultrasound performed by emergency physicians can identify a definite diagnosis in the majority of symptomatic first-trimester pregnant patients on the initial emergency department (ED) visit. However, a significant minority of such patients are diagnosed as having an indeterminate pregnancy state requiring further testing and consultation. The authors investigated the final ou...
متن کاملEfficacy of transabdominal ultrasound examination in the diagnosis of early pregnancy complications in an emergency department.
OBJECTIVE To assess the value of ultrasound in an emergency department in the diagnosis of early pregnancy complications, the efficacy of a study protocol in identifying ectopic pregnancies, and the agreement on ultrasound findings among emergency department staff and gynaecologists. METHODS All women presenting with early pregnancy complications had a transabdominal ultrasound scan performed...
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عنوان ژورنال:
- The Journal of emergency medicine
دوره 41 6 شماره
صفحات -
تاریخ انتشار 2011