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By Paula J. Woodward et al.

Диагностическая визуализация: Акушерство. Представлены более подробная информация для каждого диагноза, изысканно воспроизведены примеры изображений для каждого диагноза плюс краткие, маркированные резюме терминологии визуализации результатов · · · ключевые факты дифференциальной диагностики патологии · · · клинические вопросы и контрольный список

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20(5):1404-9, 2005 Dogra V et al: First trimester bleeding evaluation. Ultrasound Q. 21(2):69-85; quiz 149-50, 153-4,2005 Monteagudo A et al: Non-surgical management of live ectopic pregnancy with ultrasound-guided local injection: a case series. Ultrasound Obstet Gynecol. 25(3):282-8, 2005 Dialani V et al: Ectopic pregnancy: a review. Ultrasound Q. 20(3):105-17,2004 6. Sowter MC et al: Ectopic pregnancy: Obstet Gynecol. 16(4):289-93, 2004 an update. Cun Opin TUBAL ECTOPIC IIMAGE GALLERY Typical (Left) Sagittal endovaginal ultrasound shows a pseudogestational sac (arrows).

A sac of this size would be expected to contain an embryo with a crown rump length of approximately 6 cm. PERIGESTATIONAL Sagittal ultrasound shows a perigestational hemorrhage (open arrows) and a living 10 wk fetus (curved arrow). The inferior placenta edge (arrows) has been lifted off the uterus. Outcome was normal. ITERMINOlOGY Abbreviations and Synonyms Perigestational hemorrhage (PGH) Subchorionic hematoma Intrauterine hematoma Abruption o Term more often reserved for 2nd/3rd trimester • Breus mole o Massive PGH Definitions • Hematoma adjacent to gestational sac in first trimester (first 13 wks of gestation) o Bleeding often from chorionic frondosum (CF') • CF is early placenta IIMAGING FINDINGS General Features • Best diagnostic clue: Intrauterine fluid collection separate from and adjacent to gestational sac (GS) • Location: Often near CF • Size: Variable • Morphology: Depends on size and age of hemorrhage CA Separation Cross pathology shows fetal demise at 7 7 weeks and a large perigestational hemorrhage.

Gynecol Obstet Invest. 48(2):104-7, 1999 6. Brajenovic-Milic B et al: Chromosomal anomalies in abnormal human pregnancies. Fetal Diagn Ther. 13(3):187-91, 1998 Kurjak A et al: Doppler assessment of the intervillous blood 7. flow in normal and abnormal early pregnancy. Obstet Gynecol. 89(2):252-6, 1997 Pandya PP et al: The prevalence of non-viable pregnancy at 8. 10-13 weeks of gestation. Ultrasound Obstet Gynecol. 7(3):170-3,1996 Sohaey R et al: First trimester ultrasound: The essentials. 9. Semin Ultrasound, CT and MR.

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