Three-dimensional transvaginal sonography of interstitial pregnancy.
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.
Izquierdo
Luis A
LA
Department of Obstetrics and Gynecology, Division of Diagnostic Ultrasound, University of Miami School of Medicine, Jackson Memorial Hospital, 1611 Northwest 12th Avenue, Miami, Florida 33136, USA.
Nicholas
M Catherine
MC
D000328:Adult; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000000981:diagnostic imaging* / Q000601:surgery; D016216:Ultrasonography, Prenatal; D014621:Vagina