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Three‐dimensional transvaginal sonography of interstitial pregnancy
Author(s) -
Izquierdo Luis A.,
Nicholas M. Catherine
Publication year - 2003
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.10201
Subject(s) - medicine , gestational sac , interstitial pregnancy , uterine cavity , pregnancy , fallopian tube , amenorrhea , transvaginal sonography , uterine horns , transvaginal ultrasound , ectopic pregnancy , uterus , surgery , obstetrics , radiology , ultrasound , genetics , biology
We describe the case of a 33‐year‐old pregnant woman, gravida 1 para 0, who was referred to us with a presumptive diagnosis of an interstitial pregnancy. The patient had had amenorrhea for 7 weeks and had previously undergone myomectomy. Two‐dimensional sonographic examination revealed a gestational sac located outside the uterine cavity but could not define its exact anatomic position. Using transvaginal 3‐dimensional sonography, we were able to correctly depict the sac, which was located where the fallopian tube crossed the uterine horn. We performed a cornual resection, during which the diagnosis of interstitial pregnancy was confirmed. The use of 3‐dimensional sonography in this patient's case thus led to appropriate early treatment and avoidance of possible subsequent morbidity. © 2003 Wiley Periodicals, Inc. J Clin Ultrasound 31:484–487, 2003