1Departments of Obstetrics and Gynecological Surgery and, 2Departments of Radiology, Columbia University at Bassett Healthcare, Cooperstown, 32Department of Anesthesiology, New York Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY, 4Department of Radiology, St. Vincent’s Medical Center, 53Department of Radiology, Yale New Haven Health at Bridgeport Hospital, Bridgeport, CT, USA
Date of Submission: 05-Dec-2016, Date of Acceptance: 31-Dec-2016, Date of Web Publication: 20-Feb-2017.
Vaginal bleeding in the first trimester has wide differential diagnoses, the most common being a normal early intrauterine pregnancy, with other potential causes including spontaneous abortion and ectopic pregnancy. The incidence of ectopic pregnancy is approximately 2% of all reported pregnancies and is one of the leading causes of maternal mortality worldwide. Clinical signs and symptoms of ectopic pregnancy are often nonspecific. History of pelvic pain with bleeding and positive β‑human chorionic gonadotropin should raise the possibility of ectopic pregnancy. Knowledge of the different locations of ectopic pregnancy is of utmost importance, in which ultrasound imaging plays a crucial role. This pictorial essay depicts sonographic findings and essential pitfalls in diagnosing ectopic pregnancy.
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Victoria Sampson, Oluremi Mogekwu, Ammar Ahmed and Farida Bano (2017) Unilateral Atraumatic Expulsion of an Ectopic Pregnancy in a Case of Bilateral Ectopic Pregnancy. Case Reports in Obstetrics and Gynecology2017:1. doi: 10.1155/2017/6391849
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