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Ectopic Pregnancy (unruptured) Posted in General Ultrasound on July 22, 2014 by m.khodeer 21 year old female, pelvic pain Representative Image of Uterus (sagittal) DDx? Further studies, course of action? F/U trans-vaginal US (Rt. Adnexal area) Final Dx, Recommendations? Answers Ectopic Pregnancy (unruptured) Reproductive age female, positive pregnancy test, cystic structure in right adnexa, clearly thickened endometrial stripe (decidual reaction), but apparently empty uterus Ectopic Pregnancy until Proven Otherwise However, this could also be an early IUP with a corpus luteum cyst, or an abnormal IUP (i.e, miscarriage) A normal IUP should be visualized when β-HCG >= 6,500 mIU/mL (transabdominal) or >=2,000 -3,000 mIU/mL (by transvaginal) Visualization of fetal pole in mass, w/ heartbeat (*not shown) clinches the diagnosis ”Pseudogestational Sac” refers to fluid within otherwise empty uterine cavity Risk factors: prior tubal surgery, PID (especially Chlamydia), in-vitro fertilization, endometriosis, prior ectopic, current use of IUD, advanced age Note that in an ectopic, β-HCG rises more slowly than with an IUP Tags ectopic pregnancy 0 Comments • Trackback Page 1 of 37 «  Start   Prev   1   2   3   4   5   6   7   8   9   10   Next   End  »