Ectopic pregnancy: A review

Ultrasound Quarterly

Volumn 20, Issue 3, 2004, Pages 105-117

  Dialani, Vandana ^a   Levine, Deborah ^a  

^a BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

hCG; Ectopic pregnancy; Ultrasound

Indexed keywords

CHORIONIC GONADOTROPIN BETA SUBUNIT; FOLINIC ACID; METHOTREXATE; POTASSIUM CHLORIDE;

ABDOMINAL PAIN; CESAREAN SECTION; CLINICAL FEATURE; COLOR ULTRASOUND FLOWMETRY; CONTINUING EDUCATION; DIAGNOSTIC IMAGING; DIAGNOSTIC VALUE; ECTOPIC PREGNANCY; ENDOMETRIUM; FEMALE; HEMOPERITONEUM; HUMAN; HYSTERECTOMY; INTERSTITIAL PREGNANCY; INTRAUTERINE CONTRACEPTIVE DEVICE; LABORATORY TEST; LAPAROTOMY; MYOMECTOMY; NUCLEAR MAGNETIC RESONANCE IMAGING; OVARY; PELVIS; POSTOPERATIVE COMPLICATION; PREGNANCY COMPLICATION; PREGNANCY TEST; PRIORITY JOURNAL; REVIEW; RISK FACTOR; SCAR FORMATION; SCAR PREGNANCY; TRANSVAGINAL ECHOGRAPHY; TREATMENT INDICATION; ULTRASOUND; UTERINE ARTERY EMBOLIZATION; UTERINE CERVIX; UTERINE CERVIX PREGNANCY; UTERINE TUBE LIGATION; UTERUS MYOMA; VAGINA BLEEDING; WOUND DEHISCENCE;

ADULT; CESAREAN SECTION; CHORIONIC GONADOTROPIN, BETA SUBUNIT, HUMAN; FEMALE; FOLLOW-UP STUDIES; GESTATIONAL AGE; HUMANS; LAPAROTOMY; PREGNANCY; PREGNANCY OUTCOME; PREGNANCY, ECTOPIC; SENSITIVITY AND SPECIFICITY; ULTRASONOGRAPHY, DOPPLER, COLOR; ULTRASONOGRAPHY, PRENATAL;

EID: 4444312122     PISSN: 08948771     EISSN: None     Source Type: Journal    
DOI: 10.1097/00013644-200409000-00005     Document Type: Review

References (89)

1. Goldner TE, Lawson HW, Xia Z, et al. Surveillance for ectopic pregnancy-United States, 1970-1989. MMWR CDC Surveill Summ. 1993;42: 73-85.
2. Carr RJ, Evans P. Ectopic pregnancy. Prim Care. 2000;27:169-183.
3. Aboud E. A five-year review of ectopic pregnancy. Clin Exp Obstet Gynecol. 1997;24:127-129.
4. Taylor KJ, Meyer WR. New techniques in the diagnosis of ectopic pregnancy. Obstet Gynecol Clin North Am. 1991;18:39-54.
5. Centers for Disease Control and Prevention. Current trends ectopic pregnancy-United States, 1990-1992. MMWR Morb Mortal Wkly Rep. 1995; 44:46-48.
6. Schwartz RO, Di Pietro DL. Beta-hCG as a diagnostic aid for suspected ectopic pregnancy. Obstet Gynecol. 1980;56:197-203.
7. Nagamani M, London S, Amand PS. Factors influencing fertility after ectopic pregnancy. Am J Obstet Gynecol. 1984;149:533-535.
8. Mol BW, Ankum WM, Bossuyt PM, et al. Contraception and the risk of ectopic pregnancy: a meta-analysis. Contraception, 1995;52:337-341.
9. Herman A, Ron-El R, Golan A, et al. The role of tubal pathology and other parameters in ectopic pregnancies occurring in in vitro fertilization and embryo transfer. Fertil Steril. 1990;54:864-868.
10. Nazari A, Askari HA, Check JH, et al. Embryo transfer technique as a cause of ectopic pregnancy in in vitro fertilization. Fertil Steril. 1993;60: 919-921.
11. Pisarska MD, Carson SA, Buster JE. Ectopic pregnancy. Lancet. 1998; 351:1115-1120.
12. Cacciatore B. Can the status of tubal pregnancy be predicted with transvaginal sonography? A prospective comparison of sonographic, surgical, and serum hCG findings. Radiology. 1990;177:481-484.
13. Barnhart K, Mennuti MT, Benjamin I, et al. Prompt diagnosis of ectopic pregnancy in an emergency department setting. Obstet Gynecol. 1994;84: 1010-1015.
14. Mehta TS, Levine D, Beckwith B. Treatment of ectopic pregnancy: is a human chorionic gonadotropin level of 2,000 mIU/mL a reasonable threshold? Radiology. 1997;205:569-573.
15. Bateman BG, Nunley WC Jr, Kolp LA, et al. Vaginal sonography findings and hCG dynamics of early intrauterine and tubal pregnancies. Obstet Gynecol. 1990;75:421-427.
16. Goldstein SR, Snyder JR, Watson C, et al. Very early pregnancy detection with endovaginal ultrasound. Obstet Gynecol. 1988;72:200-204.
17. Sauer MV, Gorrill MJ, Rodi IA, et al. Nonsurgical management of unruptured ectopic pregnancy: an extended clinical trial. Fertil Steril. 1987;48: 752-755.
18. Fernandez H, Rainhorn JD, Papiernik E, et al. Spontaneous resolution of ectopic pregnancy. Obstet Gynecol. 1988;71:171-174.
19. Atri M, Bret PM, Tulandi T. Spontaneous resolution of ectopic pregnancy: initial appearance and evolution at transvaginal US. Radiology. 1993;186:83-86.
20. Batzer R. Guidelines for choosing a pregnancy test. Contemp Obstet Gynecol. 1985;30:57.
21. DeVoe RW, Pratt JH. Simultaneous intra- and extrauterine pregnancy. Am J Obstet Gynecol. 1948;56:1119.
22. Richards SR, Stempel LE, Carlton BD. Heterotopic pregnancy: reappraisal of incidence. Am J Obstet Gynecol. 1982;142:928-930.
23. Bello GV, Schonholz D, Moshirpur J, et al. Combined pregnancy: the Mount Sinai experience. Obstet Gynecol Surv. 1986;41:603-613.
24. Berger MJ, Taymor ML. Simultaneous intrauterine and tubal pregnancies following ovulation induction. Am J Obstet Gynecol. 1972;113:812-813.
25. Breen JL. A 21 year survey of 654 ectopic pregnancies. Am J Obstet Gynecol. 1970;106:1004-1019.
26. Zinn HL, Cohen HL, Zinn DL. Ultrasonographic diagnosis of ectopic pregnancy: importance of transabdominal imaging. J Ultrasound Med. 1997;16:603-607.
27. Nyberg DA, Mack LA, Jeffrey RB Jr, et al. Endovaginal sonographic evaluation of ectopic pregnancy: a prospective study. AJR Am J Roentgenol. 1987;149:1181-1186.
28. Thorsen MK, Lawson TL, Aiman EJ, et al. Diagnosis of ectopic pregnancy: endovaginal vs transabdominal sonography. AJR Am J Roentgenol. 1990;155:307-310.
29. Cacciatore B, Stenman UH, Ylostalo P. Early screening for ectopic pregnancy in high-risk symptom-free women. Lancet. 1994;343:517-518.
30. Yeh HC, Goodman JD, Carr L, et al. Intradecidual sign: a US criterion of early intrauterine pregnancy. Radiology. 1986;161:463-467.
31. Chiang G, Levine D, Mehta TS, et al. The intradecidual sign: a reliable marker for intrauterine pregnancy. AJR Am J Roentgenol. In press.
32. Bradley WG, Fiske CE, Filly RA. The double sac sign of early intrauterine pregnancy: use in exclusion of ectopic pregnancy. Radiology. 1982;143: 223-226.
33. Ackerman TE, Levi CS, Lyons EA, et al. Decidual cyst: endovaginal sonographic sign of ectopic pregnancy. Radiology. 1993;189:727-731.
34. Yeh HC. Some misconceptions and pitfalls in ultrasonography. Ultrasound Q. 2001;17:129-155.
35. Frates MC, Laing FC. Sonographic evaluation of ectopic pregnancy: an update. AJR Am J Roentgenol. 1995;165:251-259.
36. Russell SA, Filly RA, Damato N. Sonographic diagnosis of ectopic pregnancy with endovaginal probes: what really has changed? J Ultrasound Med. 1993;12:145-151.
37. Nyberg DA, Mack LA, Laing FC, et al. Early pregnancy complications: endovaginal sonographic findings correlated with human chorionic gonadotropin levels. Radiology. 1988;167:619-622.
38. Dashefsky SM, Lyons EA, Levi CS, et al. Suspected ectopic pregnancy: endovaginal and transvesical US. Radiology. 1988;169:181-184.
39. Cacciatore B, Stenman UH, Ylostalo P. Comparison of abdominal and vaginal sonography in suspected ectopic pregnancy. Obstet Gynecol. 1989;73:770-774.
40. Kivikoski AI, Martin CM, Smeltzer JS. Transabdominal and transvaginal ultrasonography in the diagnosis of ectopic pregnancy: a comparative study. Am J Obstet Gynecol. 1990;163:123-128.
41. Nyberg DA, Hughes MP, Mack LA, et al. Extrauterine findings of ectopic pregnancy of transvaginal US: importance of echogenic fluid. Radiology. 1991;178:823-826.
42. Frates MC, Benson CB, Doubilet PM, et al. Cervical ectopic pregnancy: results of conservative treatment. Radiology. 1994;191:773-775.
43. Atri M, Bret PM, Tulandi T, et al. Ectopic pregnancy: evolution after treatment with transvaginal methotrexate. Radiology. 1992;185:749-753.
44. Brown DL, Doubilet PM. Transvaginal sonography for diagnosing ectopic pregnancy: positivity criteria and performance characteristics. J Ultrasound Med. 1994;13:259-266.
45. Fleischer AC, Pennell RG, McKee MS, et al. Ectopic pregnancy: features at transvaginal sonography. Radiology. 1990;174:375-378.
46. DiMarchi JM, Kosasa TS, Hale RW. What is the significance of the human chorionic gonadotropin value in ectopic pregnancy? Obstet Gynecol. 1989;74:851-855.
47. Stiller RJ, Haynes de Regt R, Blair E. Transvaginal-ultrasonography in patients at risk for ectopic pregnancy. Am J Obstet Gynecol. 1989;161: 930-933.
48. Filly RA. Ectopic pregnancy: the role of sonography. Radiology. 1987; 162:661-668.
49. Timor-Tritsch I. Transvaginal ultrasonographic findings in surgically verified ectopic pregnancy. Am J Obstet Gynecol. 1994;170:1205-1206.
50. Frates MC, Visweswaran A, Laing FC. Comparison of tubal ring and corpus luteum echogenicities: a useful differentiating characteristic. J Ultrasound Med. 2001;20:27-31. Quiz. J Ultrasound Med. 2001;20:33.
51. Frates MC, Visweswaran A, Laing FC. Comparison of tubal ring and corpus luteum echogenicities: a useful differentiating characteristic. J Ultrasound Med. 2001;20:27-31. Quiz. J Ultrasound Med. 2001;20:33.
52. Stein MW, Ricci ZJ, Novak L, et al. Sonographic comparison of the tubal ring of ectopic pregnancy with the corpus luteum. J Ultrasound Med. 2004;23:57-62.
53. Sickler GK, Chen PC, Dubinsky TJ, et al. Free echogenic pelvic fluid: correlation with hemoperitoneum. J Ultrasound Med. 1998; 17:431-435.
54. Atri M, Leduc C, Gillett P, et al. Role of endovaginal sonography in the diagnosis and management of ectopic pregnancy. Radiographics. 1996; 16:755-774. Discussion. Radiographics. 1996;16:775.
55. Atri M, Leduc C, Gillett P, et al. Role of endovaginal sonography in the diagnosis and management of ectopic pregnancy. Radiographics. 1996; 16:755-774. Discussion. Radiographics. 1996;16:775.
56. Ludwig M, Kaisi M, Bauer O, et al. Heterotopic pregnancy in a spontaneous cycle: do not forget about it! Eur J Obstet Gynecol Reprod Biol. 1999;87:91-93.
57. Raccuia JS, Neckles S, Butler D, et al. Synchronous intrauterine and ectopic pregnancy associated with clomiphene citrate. Surg Gynecol Obstet. 1989;168:417-420.
58. Soriano D, Shrim A, Seidman DS, et al. Diagnosis and treatment of heterotopic pregnancy compared with ectopic pregnancy. J Am Assoc Gynecol Laparosc. 2002;9:352-358.
59. Bouyer J, Coste J, Fernandez H, et al. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod. 2002;17:3224-3230.
60. Jafri SZ, Loginsky SJ, Bouffard JA, et al. Sonographic detection of interstitial pregnancy. J Clin Ultrasound. 1987;15:253-257.
61. Chen GD, Lin MT, Lee MS. Diagnosis of interstitial pregnancy with sonography. J Clin Ultrasound. 1994;22:439-442.
62. Fernandez H, De Ziegler D, Bourget P, et al. The place of methotrexate in the management of interstitial pregnancy. Hum Reprod. 1991;6:302-306.
63. Doubilet PM, Benson CB, Frates MC, et al. Sonographically guided minimally invasive treatment of unusual ectopic pregnancies. J Ultrasound Med. 2004;23:359-370.
64. Celik C, Bala A, Acar A, et al. Methotrexate for cervical pregnancy. A case report. J Reprod Med. 2003;48:130-132.
65. Ushakov FB, Elchalal U, Aceman PJ, et al. Cervical pregnancy: past and future. Obstet Gynecol Surv. 1997;52:45-59.
66. Monteagudo A, Tarricone NJ, Timor-Tritsch IE, et al. Successful transvaginal ultrasound-guided puncture and injection of a cervical pregnancy in a patient with simultaneous intrauterine pregnancy and a history of a previous cervical pregnancy. Ultrasound Obstet Gynecol. 1996;8:381-386.
67. Frates MC, Brown DL, Doubilet PM, et al. Tubal rupture in patients with ectopic pregnancy: diagnosis with transvaginal US. Radiology. 1994;191; 769-772.
68. Jurkovic D, Hacket E, Campbell S. Diagnosis and treatment of early cervical pregnancy: a review and a report of two cases treated conservatively. Ultrasound Obstet Gynecol. 1996;8:373-380.
69. Stovall TG, Ling FW. Ectopic pregnancy. Diagnostic and therapeutic algorithms minimizing surgical intervention. J Reprod Med. 1993;38:807-812.
70. Sherer DM, Abramowicz JS, Thompson HO, et al. Comparison of transabdominal and endovaginal sonographic approaches in the diagnosis of a case of cervical pregnancy successfully treated with methotrexate. J Ultrasound Med. 1991;10:409-411.
71. Meyerovitz MF, Lobel SM, Harrington DP, et al. Preoperative uterine artery embolization in cervical pregnancy. J Vasc Interv Radiol. 1991;2: 95-97.
72. Jurkovic D, Hillaby K, Woelfer B, et al. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar. Ultrasound Obstet Gynecol. 2003;21:220-227.
73. Fylstra DL. Ectopic pregnancy within a cesarean scar: a review. Obstet Gynecol Surv. 2002;57:537-543.
74. Li SP, Wang W, Tang XL, et al. Cesarean scar pregnancy: a case report. Chin Med J (Engl). 2004;117:316-317.
75. Seow KM, Huang LW, Lin YH, et al. Cesarean scar pregnancy: issues in management. Ultrasound Obstet Gynecol. 2004;23:247-253.
76. Haimov-Kochman R, Sciaky-Tamir Y, Yanai N, et al. Conservative management of two ectopic pregnancies implanted in previous uterine scars. Ultrasound Obstet Gynecol. 2002;19:616-619.
77. Siow A, Chern B, Soong Y. Successful laparoscopic treatment of an abdominal pregnancy in the broad ligament. Singapore Med J. 2004;45: 88-89.
78. Barnhart K, Coutifaris C, Esposito M. The pharmacology of methotrexate. Expert Opin Pharmacother. 2001;2:409-417.
79. Barnhart KT, Gosman G, Ashby R, et al. The medical management of ectopic pregnancy: a meta-analysis comparing "single dose" and "multidose" regimens. Obstet Gynecol. 2003;101:778-784.
80. Canis M, Savary D, Pouly JL, et al. [Ectopic pregnancy: criteria to decide between medical and conservative surgical treatment?] J Gynecol Obstet Biol Reprod (Paris). 2003;32:S54-S63.
81. Feng W, Cao B, Li Q. [Advances in diagnosis and treatment of ectopic pregnancy during the past ten years.] Zhonghua Fu Chan Ke Za Zhi. 2000; 35:408-410.
82. Fernandez H, Pauthier S, Doumerc S, et al. Ultrasound-guided injection of methotrexate versus laparoscopic salpingotomy in ectopic pregnancy. Fertil Steril. 1995;63:25-29.
83. Menard A, Crequat J, Mandelbrot L, et al. Treatment of unruptured tubal pregnancy by local injection of methotrexate under transvaginal sonographic control. Fertil Steril. 1990;54:47-50.
84. Fernandez H, Benifla JL, Lelaidier C, et al. Methotrexate treatment of ectopic pregnancy: 100 cases treated by primary transvaginal injection under sonographic control. Fertil Steril. 1993;59:773-777.
85. Ferrero S, Bentivoglio G. Seventy-five ectopic pregnancies. Medical and surgical management. Minerva Ginecol. 2002;54:471-482.
86. Beddock R, Naepels P, Gondry C, et al. [Diagnosis and current concepts of management of advanced abdominal pregnancy.] Gynecol Obstet Fertil. 2004;32:55-61.
87. Angtuaco TL, Shah HR, Mattison DR, et al. MR imaging in high-risk obstetric patients: a valuable complement to US. Radiographics. 1992;12: 91-109. Discussion. Radiographics. 1992;12:110.
88. Angtuaco TL, Shah HR, Mattison DR, et al. MR imaging in high-risk obstetric patients: a valuable complement to US. Radiographics. 1992;12: 91-109. Discussion. Radiographics. 1992;12:110.
89. Smolders D, Deckers F, Pouillon M, et al. Ectopic pregnancy within a rudimentary horn in a case of unicornuate uterus. Eur Radiol. 2002;12: 121-124.