Sonography in first trimester bleeding
Identifieur interne : 004306 ( Main/Exploration ); précédent : 004305; suivant : 004307Sonography in first trimester bleeding
Auteurs : Manjiri Dighe [États-Unis] ; Carlos Cuevas [États-Unis] ; Mariam Moshiri [États-Unis] ; Theodore Dubinsky [États-Unis] ; Vikram S. Dogra [États-Unis]Source :
- Journal of Clinical Ultrasound [ 0091-2751 ] ; 2008-07.
English descriptors
- Teeft :
- Abdominal pregnancy, Abnormal, Abnormality, Abortion, Anembryonic pregnancy, Arteriovenous, Avms, Blood clots, Cervical, Cervical pregnancy, Chronic ectopic pregnancy, Clin, Clin ultrasound, Clinical ultrasound sonography, Color doppler sonogram, Complex mass, Cyst, Decidual, Decidual reaction, Differential diagnosis, Dighe, Doppler, Double arrow, Early pregnancy, Echogenic, Ectopic, Ectopic pregnancies, Ectopic pregnancy, Embryo, Emergency department, Endometrial, Endometrium, Fallopian, Fallopian tube, Fetal, Fetal demise, Fetus, First trimester, Gestation, Gestational, Gestational trophoblastic disease, Gynecol, Heterotopic, Heterotopic pregnancy, Hydatidiform, Intrauterine, Malformation, Molar, Molar pregnancy, Myometrium, Ndings, Nuchal translucency, Obstet, Obstet gynecol, Obstet gynecol reprod biol, Ovarian, Partial molar pregnancy, Placenta, Pregnancy, Pregnancy outcome, Progesterone, Prognostic value, Radiology, Reprod, Rpoc, Sagittal sonogram, Sonogram, Sonographic, Sonographic appearance, Sonographic features, Sonography, Spontaneous abortion, Subchorionic, Subchorionic hemorrhage, Transabdominal, Transabdominal sonogram, Transvaginal, Transvaginal sonogram, Transvaginal sonography, Trimester, Trophoblastic, Trophoblastic tissue, Tubal, Ultrasound, Ultrasound obstet gynecol, Uterine, Uterus, Vascular abnormalities, White arrow, Yolk.
Abstract
Vaginal bleeding is the most common cause of presentation to the emergency department in the first trimester. Approximately half of patients with first trimester vaginal bleeding will lose the pregnancy. Clinical assessment is difficult, and sonography is necessary to determine if a normal fetus is present and alive and to exclude other causes of bleeding (eg, ectopic or molar pregnancy). Diagnosis of a normal intrauterine pregnancy not only helps the physician in terms of management but also gives psychologic relief to the patient. Improved ultrasound technology and high‐frequency endovaginal transducers have enabled early diagnosis of abnormal and ectopic pregnancies, decreasing maternal morbidity and mortality. The main differential considerations of first trimester bleeding are spontaneous abortion, ectopic pregnancy, or gestational trophoblastic disease. This article reviews the causes of first trimester bleeding and the sonographic findings, including normal features of first trimester pregnancy. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008.
Url:
DOI: 10.1002/jcu.20451
Affiliations:
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Dogra</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Department of Imaging Sciences, University of Rochester School of Medicine, 601 Elmwood Avenue, Box 648, Rochester</wicri:cityArea></affiliation><affiliation wicri:level="1"><country wicri:rule="url">États-Unis</country></affiliation><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">État de New York</region></placeName><wicri:cityArea>Correspondence address: Department of Imaging Sciences, University of Rochester School of Medicine, 601 Elmwood Avenue, Box 648, Rochester</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of Clinical Ultrasound</title><title level="j" type="alt">JOURNAL OF CLINICAL ULTRASOUND</title><idno type="ISSN">0091-2751</idno><idno type="eISSN">1097-0096</idno><imprint><biblScope unit="vol">36</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="352">352</biblScope><biblScope unit="page" to="366">366</biblScope><biblScope unit="page-count">15</biblScope><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-07">2008-07</date></imprint><idno type="ISSN">0091-2751</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0091-2751</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Abdominal pregnancy</term><term>Abnormal</term><term>Abnormality</term><term>Abortion</term><term>Anembryonic pregnancy</term><term>Arteriovenous</term><term>Avms</term><term>Blood clots</term><term>Cervical</term><term>Cervical pregnancy</term><term>Chronic ectopic pregnancy</term><term>Clin</term><term>Clin ultrasound</term><term>Clinical ultrasound sonography</term><term>Color doppler sonogram</term><term>Complex mass</term><term>Cyst</term><term>Decidual</term><term>Decidual reaction</term><term>Differential diagnosis</term><term>Dighe</term><term>Doppler</term><term>Double arrow</term><term>Early pregnancy</term><term>Echogenic</term><term>Ectopic</term><term>Ectopic pregnancies</term><term>Ectopic pregnancy</term><term>Embryo</term><term>Emergency department</term><term>Endometrial</term><term>Endometrium</term><term>Fallopian</term><term>Fallopian tube</term><term>Fetal</term><term>Fetal demise</term><term>Fetus</term><term>First trimester</term><term>Gestation</term><term>Gestational</term><term>Gestational trophoblastic disease</term><term>Gynecol</term><term>Heterotopic</term><term>Heterotopic pregnancy</term><term>Hydatidiform</term><term>Intrauterine</term><term>Malformation</term><term>Molar</term><term>Molar pregnancy</term><term>Myometrium</term><term>Ndings</term><term>Nuchal translucency</term><term>Obstet</term><term>Obstet gynecol</term><term>Obstet gynecol reprod biol</term><term>Ovarian</term><term>Partial molar pregnancy</term><term>Placenta</term><term>Pregnancy</term><term>Pregnancy outcome</term><term>Progesterone</term><term>Prognostic value</term><term>Radiology</term><term>Reprod</term><term>Rpoc</term><term>Sagittal sonogram</term><term>Sonogram</term><term>Sonographic</term><term>Sonographic appearance</term><term>Sonographic features</term><term>Sonography</term><term>Spontaneous abortion</term><term>Subchorionic</term><term>Subchorionic hemorrhage</term><term>Transabdominal</term><term>Transabdominal sonogram</term><term>Transvaginal</term><term>Transvaginal sonogram</term><term>Transvaginal sonography</term><term>Trimester</term><term>Trophoblastic</term><term>Trophoblastic tissue</term><term>Tubal</term><term>Ultrasound</term><term>Ultrasound obstet gynecol</term><term>Uterine</term><term>Uterus</term><term>Vascular abnormalities</term><term>White arrow</term><term>Yolk</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vaginal bleeding is the most common cause of presentation to the emergency department in the first trimester. Approximately half of patients with first trimester vaginal bleeding will lose the pregnancy. Clinical assessment is difficult, and sonography is necessary to determine if a normal fetus is present and alive and to exclude other causes of bleeding (eg, ectopic or molar pregnancy). Diagnosis of a normal intrauterine pregnancy not only helps the physician in terms of management but also gives psychologic relief to the patient. Improved ultrasound technology and high‐frequency endovaginal transducers have enabled early diagnosis of abnormal and ectopic pregnancies, decreasing maternal morbidity and mortality. The main differential considerations of first trimester bleeding are spontaneous abortion, ectopic pregnancy, or gestational trophoblastic disease. This article reviews the causes of first trimester bleeding and the sonographic findings, including normal features of first trimester pregnancy. © 2008 Wiley Periodicals, Inc. J Clin Ultrasound, 2008.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Washington (État)</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="Washington (État)"><name sortKey="Dighe, Manjiri" sort="Dighe, Manjiri" uniqKey="Dighe M" first="Manjiri" last="Dighe">Manjiri Dighe</name></region><name sortKey="Cuevas, Carlos" sort="Cuevas, Carlos" uniqKey="Cuevas C" first="Carlos" last="Cuevas">Carlos Cuevas</name><name sortKey="Dogra, Vikram S" sort="Dogra, Vikram S" uniqKey="Dogra V" first="Vikram S." last="Dogra">Vikram S. Dogra</name><name sortKey="Dogra, Vikram S" sort="Dogra, Vikram S" uniqKey="Dogra V" first="Vikram S." last="Dogra">Vikram S. Dogra</name><name sortKey="Dogra, Vikram S" sort="Dogra, Vikram S" uniqKey="Dogra V" first="Vikram S." last="Dogra">Vikram S. Dogra</name><name sortKey="Dubinsky, Theodore" sort="Dubinsky, Theodore" uniqKey="Dubinsky T" first="Theodore" last="Dubinsky">Theodore Dubinsky</name><name sortKey="Moshiri, Mariam" sort="Moshiri, Mariam" uniqKey="Moshiri M" first="Mariam" last="Moshiri">Mariam Moshiri</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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