December 01, 2021

Case of the Week: Ruptured Ectopic Pregnancy (Ultrasound)

Listen Later

5 minutes

In this radiology lecture, we discuss the ultrasound appearance of ruptured ectopic pregnancy.

Key points include:

Most ectopic pregnancies occur in the fallopian tube: Ampulla most common, followed by isthmus and fimbria.

Risk factors: Prior ectopic pregnancy, prior surgery (fallopian tube), pelvic inflammatory disease, endometriosis, IVF.

“A single measurement of hCG, regardless of its level, does not reliably distinguish between ectopic and intrauterine pregnancy (viable or nonviable).”*

Levels of hCG in ectopic pregnancies are highly variable.

Tubal rupture main complication, occurs in up to 20%.

Free fluid in pelvis alone nonspecific, but echogenic fluid in Morison pouch (subhepatic space) and cul-de-sac raises concern for rupture.

Rupture is a relative contraindication to methotrexate (medical) therapy.

*Doubilet PM, Benson CB, Bourne T, et al. Diagnostic criteria for nonviable pregnancy early in the first trimester. N Engl J Med 2013;369:1443-51.

Click the YouTube Community tab or follow on social media for bonus teaching material posted throughout the week!

Instagram: https://www.instagram.com/radiologistHQ/

Facebook: https://www.facebook.com/radiologistHeadQuarters/

Twitter: https://twitter.com/radiologistHQ

The post Case of the Week: Ruptured Ectopic Pregnancy (Ultrasound) appeared first on Radquarters.

...more

View all episodes

View all episodes

Download on the App Store

Download on the App Store

Get it on Google Play

Radiology Lectures | Radquarters

By Daniel J. Kowal, MD

4.9

7676 ratings

December 01, 2021

Case of the Week: Ruptured Ectopic Pregnancy (Ultrasound)

Listen Later

5 minutes

In this radiology lecture, we discuss the ultrasound appearance of ruptured ectopic pregnancy.

Key points include:

Most ectopic pregnancies occur in the fallopian tube: Ampulla most common, followed by isthmus and fimbria.

Risk factors: Prior ectopic pregnancy, prior surgery (fallopian tube), pelvic inflammatory disease, endometriosis, IVF.

“A single measurement of hCG, regardless of its level, does not reliably distinguish between ectopic and intrauterine pregnancy (viable or nonviable).”*

Levels of hCG in ectopic pregnancies are highly variable.

Tubal rupture main complication, occurs in up to 20%.

Free fluid in pelvis alone nonspecific, but echogenic fluid in Morison pouch (subhepatic space) and cul-de-sac raises concern for rupture.

Rupture is a relative contraindication to methotrexate (medical) therapy.

*Doubilet PM, Benson CB, Bourne T, et al. Diagnostic criteria for nonviable pregnancy early in the first trimester. N Engl J Med 2013;369:1443-51.

Click the YouTube Community tab or follow on social media for bonus teaching material posted throughout the week!

Instagram: https://www.instagram.com/radiologistHQ/

Facebook: https://www.facebook.com/radiologistHeadQuarters/

Twitter: https://twitter.com/radiologistHQ

The post Case of the Week: Ruptured Ectopic Pregnancy (Ultrasound) appeared first on Radquarters.

...more

More shows like Radiology Lectures | Radquarters

Hamish & Andy by LiSTNR

Hamish & Andy

1,103 Listeners

Radiology Podcast | RSNA by The Radiological Society of North America

Radiology Podcast | RSNA

88 Listeners

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,071 Listeners

The Daily by The New York Times

The Daily

110,865 Listeners

RadioGraphics Podcast | RSNA by Radiological Society of North America (RSNA)

RadioGraphics Podcast | RSNA

29 Listeners

AJR Podcasts by AJR

AJR Podcasts

43 Listeners

The Clinical Problem Solvers by The Clinical Problem Solvers

The Clinical Problem Solvers

512 Listeners

The Radiology Review Podcast by Matt Covington

The Radiology Review Podcast

204 Listeners

SmartLess by Jason Bateman, Sean Hayes, Will Arnett

SmartLess

57,297 Listeners

Radiology Core Exam Review by Mohammad Halaibeh MD

Radiology Core Exam Review

25 Listeners

The Ezra Klein Show by New York Times Opinion

The Ezra Klein Show

15,371 Listeners

Honestly with Bari Weiss by The Free Press

Honestly with Bari Weiss

8,563 Listeners

The Radiopaedia Reading Room Podcast by Andrew Dixon & Frank Gaillard

The Radiopaedia Reading Room Podcast

40 Listeners