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Complicated first-trimester pregnancies: evaluation with endovaginal US versus transabdominal technique.
Radiology ; 165(1): 79-83, 1987 Oct.
Article en En | MEDLINE | ID: mdl-3306791
Endovaginal ultrasound (US) was performed in 38 pregnant women at 5-12 menstrual weeks, when the initial transabdominal sonograms had been considered inconclusive or equivocal. Clinical follow-up disclosed 32 intrauterine pregnancies (12 living, 18 spontaneous incomplete abortions, and two embryonic demises) and six ectopic pregnancies. In the 32 intrauterine pregnancies (normal and abnormal), the correct diagnosis was made in all cases with endovaginal US. The endovaginal images demonstrated the intrauterine embryo, its heart motion, and the yolk sac more clearly and more often when these structures were not apparent on the transabdominal scans. Abnormal gestational sacs were better resolved. In the six cases of ectopic pregnancy, while an extrauterine ectopic sac was visualized in only three, absence of an intrauterine gestational sac was confirmed in all cases with endovaginal scanning. No endovaginal study yielded less information than its transabdominal counterpart. Endovaginal sonography is likely to be diagnostic when transabdominal images fail to yield a definitive diagnosis in early pregnancies.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Ultrasonografía Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Adolescent / Adult / Female / Humans / Pregnancy Idioma: En Revista: Radiology Año: 1987 Tipo del documento: Article Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones del Embarazo / Ultrasonografía Tipo de estudio: Diagnostic_studies / Evaluation_studies Límite: Adolescent / Adult / Female / Humans / Pregnancy Idioma: En Revista: Radiology Año: 1987 Tipo del documento: Article Pais de publicación: Estados Unidos