ABSTRACT The differential diagnosis in a pregnant patient who presents with pain and bleeding in the first trimester includes normal early pregnancy, spontaneous abortion, molar pregnancy, and ectopic pregnancy. Knowledge of the sonographic appearance of these entities is helpful at arriving at the correct diagnosis. When no intrauterine pregnancy is visualized, careful attention to the adnexa is crucial for finding an extraovarian mass, since the fallopian tube is the most common location for ectopic pregnancy. This review describes and illustrates the sonographic findings of ectopic pregnancy.
Article: Ultrasound Evaluation of Pelvic Pain[Show abstract] [Hide abstract]
ABSTRACT: Pelvic pain is a frequent complaint in women presenting to the emergency room or to a physician's office, and ultrasound should be considered the initial imaging modality of choice in the evaluation of women with pelvic pain. This article reviews the ultrasound imaging technique and provides a thorough differential of gynecologic and nongynecologic causes of both acute and chronic pelvic pain. Copyright © 2014 Elsevier Inc. All rights reserved.Radiologic Clinics of North America 11/2014; 52(6):1215-1235. DOI:10.1016/j.rcl.2014.07.008 · 1.83 Impact Factor
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ABSTRACT: This study is undertaken to emphasize the role of ultrasonography in the diagnosis of ectopic pregnancy and clinical analysis of the same in a tertiary care referral hospital.Journal of obstetrics and gynaecology of India 10/2014; 64(5):354-7. DOI:10.1007/s13224-014-0529-0
Conference Paper: Pearls and Pitfalls in First Trimester Obstetric Sonography[Show abstract] [Hide abstract]
ABSTRACT: PURPOSE/AIM To review diagnostic and sonographic pitfalls encountered when evaluating the first trimester patient with vaginal bleeding and/or pelvic pain. A series of thought –provoking cases with clinical scenarios will be provided to help the radiologist avoid these common interpretative errors. Potential problems associated with over-reliance on B-HCG levels will be highlighted. CONTENT ORGANIZATION The cases will be presented in quiz format. The exhibit will include: • Features of the Normal Intrauterine Pregnancy (double decidual sac sign, intradecidual sign, amnion, yolk sac) • Normal Intrauterine Pregnancy vs. Pseudosac of Ectopic • Normal Eccentric Intrauterine Pregnancy vs. Cornual Ectopic • Review of the Range of Normal Early Fetal Heart Rates • Review of Peri-gestational Bleeds • Review of the Discriminatory Level of B-HCG levels and Wide range of Values at Each Stage of Early Gestation SUMMARY To avoid incorrect management of a normal pregnancy, the radiologist must be familiar with potential diagnostic and imaging pitfalls in the first trimester.Radiological Society of North America 2012 Scientific Assembly and Annual Meeting; 10/2014