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Michalak M, Zurada A, Biernacki M, et al. Ruptured ectopic pregnancy diagnosed with computed tomography. Pol J Radiol. 2010;75(4):44-6
Michalak, M., Zurada, A., Biernacki, M., & Zygmunt, K. (2010). Ruptured ectopic pregnancy diagnosed with computed tomography. Polish journal of radiology, 75(4), 44-6.
Michalak, Maciej, et al. "Ruptured ectopic pregnancy diagnosed with computed tomography." Polish journal of radiology vol. 75,4 (2010): 44-6.
Michalak M, Zurada A, Biernacki M, Zygmunt K. Ruptured ectopic pregnancy diagnosed with computed tomography. Pol J Radiol. 2010 Oct;75(4):44-6. PMID: 22802804; PMCID: PMC3389893.
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Pol J Radiol. 2010 Oct;75(4):44-6.

Ruptured ectopic pregnancy diagnosed with computed tomography.

Polish journal of radiology

Maciej Michalak, Anna Zurada, Maciej Biernacki, Kozielec Zygmunt

Affiliations

  1. Department of Oncology, Faculty of Medical Sciences, University of Warmia and Mazury in Olsztyn, Olsztyn, Poland.

PMID: 22802804 PMCID: PMC3389893

Abstract

BACKGROUND: The rupture of ectopic pregnancy (EP) still remains the primary and direct cause of death in the first trimester of pregnancy. Ultrasonography is known to be a modality of choice in EP diagnostics. We found a severe discrepancy between the frequency of ectopic pregnancies (EP) and the number of available computed tomography (CT) examinations.

CASE REPORT: A 29-year-old woman was admitted to the emergency department with a history of abdominal pain, nausea, vomiting and collapse. Sonographic findings of a suspected EP were unclear. Moreover, not all features of intrauterine pregnancy were present. Due to the patient's life-threatening condition, an emergency multi-slice CT with MPR and VRT reconstructions was performed, revealing symptoms of a ruptured EP. In the right adnexal area, a well-vascularized, solid-cystic abnormal mass lesion was found. Intraperitoneal hemorrhage was confirmed intraoperatively, and the right fallopian tube with a tubal EP was resected. In the surgery in situ, as well as in the pathological examination of the tumor mass, a human embryo of approximately 1.5 cm in length (beginning of the 8(th) week of gestation) was found.

CONCLUSIONS: Although ultrasonography still remains the first-line imaging examination in EP diagnostics, sometimes the findings of suspected EPs are unclear and not sufficient. The rupture of EP, with serious bleeding and symptoms of shock, may require an emergent pelvic and abdominal CT inspection. A clear correlation was found between the macroscopic CT images and the intraoperatively sampled material.

Keywords: computed tomography; ectopic pregnancy; hemorrhage

References

  1. Korean J Radiol. 2010 Jan-Feb;11(1):123-5 - PubMed
  2. Ultrasound Q. 2004 Sep;20(3):105-17 - PubMed
  3. Radiographics. 2008 Oct;28(6):1661-71 - PubMed
  4. Emerg Radiol. 2008 May;15(3):179-82 - PubMed
  5. Magn Reson Med Sci. 2006 Apr;5(1):25-32 - PubMed
  6. J Magn Reson Imaging. 2006 Jul;24(1):1-15 - PubMed
  7. Eur Radiol. 2007 Dec;17(12):3236-46 - PubMed
  8. Radiology. 2007 Nov;245(2):385-97 - PubMed
  9. Ginekol Pol. 2009 Oct;80(10):734-9 - PubMed
  10. Abdom Imaging. 2007 Jan-Feb;32(1):56-8 - PubMed
  11. Emerg Radiol. 2009 Nov;16(6):453-72 - PubMed

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