Clinician-performed ultrasound diagnosis of ruptured interstitial pregnancy

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 c...

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Bibliographic Details
Published in:The American journal of emergency medicine 2009-11, Vol.27 (9), p.1170.e1-1170.e2
Main Authors: Duong, David, MD, MS, Baker, William E., MD, Adedipe, Adeyinka, MD
Format: Article
Language:English
Subjects:
Abdomen
Adult
Emergency
Emergency medical care
Emergency Service, Hospital
Female
Fetuses
Humans
Mortality
Pain
Pregnancy
Pregnancy, Abdominal - diagnostic imaging
Pregnancy, Abdominal - surgery
Ultrasonography, Prenatal
Uterine Rupture - diagnostic imaging
Uterine Rupture - surgery
Women
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Summary: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.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2009.01.002