关键词: Early first trimester Ectopic pregnancy Prenatal ultrasound Transvaginal ultrasound Tubal abortion

来  源:   DOI:10.1016/j.radcr.2023.11.002   PDF(Pubmed)

Abstract:
Ectopic pregnancies, implantation of a fertilized ovum in any location other than within the endometrial cavity, occur in 1-2% of all pregnancies. Despite current enhanced early diagnosis enabled by serum beta-human choriogonadotropin (hCG) levels and high-resolution ultrasound, this clinical entity continues to account for between 2.7 and 6% of all maternal deaths. The most common site of ectopic implantation is the Fallopian tube (>90% of cases), and less commonly in previous Cesarean scar, ovary, cervix, or the abdomen. Complete tubal abortion refers to a tubal pregnancy having been expelled from the distal portion of the Fallopian tube into the peritoneal cavity and may be associated with either considerable hemorrhage, spontaneous resolution, or rarely serve as an initial nidus for an abdominal pregnancy. We present unusual sonographic findings of a complete tubal abortion in a patient with minimal symptomology.
摘要:
异位妊娠,将受精卵植入子宫内膜腔以外的任何位置,发生在所有怀孕的1-2%。尽管目前通过血清β-人绒毛膜促性腺激素(hCG)水平和高分辨率超声增强了早期诊断,这一临床实体仍然占所有孕产妇死亡的2.7%至6%.异位植入的最常见部位是输卵管(>90%的病例),在以前的剖腹产疤痕中较不常见,子房,子宫颈,或者腹部.完全输卵管流产是指输卵管妊娠从输卵管远端部分排入腹膜腔,可能伴有大量出血,自发分辨率,或者很少作为腹部妊娠的初始病灶。我们提出了症状轻微的患者完全输卵管流产的异常超声检查结果。
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