Three-dimensional transvaginal sonography of interstitial pregnancy

✍ Scribed by Luis A. Izquierdo; M. Catherine Nicholas

• Publisher: John Wiley and Sons
• Year: 2003
• Tongue: English
• Weight: 152 KB
• Volume: 31
• Category: Article
• ISSN: 0091-2751
• DOI: 10.1002/jcu.10201

✦ Synopsis

Abstract

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