Application of contrast-enhanced ultrasound for scar pregnancy cases misdiagnosed as other diseases
To demonstrate the feasibility of utilizing contrast-enhanced ultrasound (CEUS) in scar pregnancies misdiagnosed by transvaginal ultrasound (TVS). CEUS was performed in three patients with clinically suspected abnormal pregnancy, and the diagnosis were inconclusive by TVS. Clinical manifestations an...
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| Veröffentlicht in: | Clinica chimica acta 2019-09, Vol.496, p.134-139 |
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| container_title | Clinica chimica acta |
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| creator | Liu, Dongmei Gu, Xiaoning Liu, Fang Shi, Fuwen Yang, Min Wu, Qingqing |
| description | To demonstrate the feasibility of utilizing contrast-enhanced ultrasound (CEUS) in scar pregnancies misdiagnosed by transvaginal ultrasound (TVS).
CEUS was performed in three patients with clinically suspected abnormal pregnancy, and the diagnosis were inconclusive by TVS. Clinical manifestations and features of TVS and CEUS in these cases were analyzed.
Three cases included an intramural pregnancy (IMP) after hysteromyomectomy, and two mass-based cesarean scar pregnancy (CSP), the mass was caused by curettage and spontaneous abortion, respectively. In all these cases, early enhancement with high intensity was observed by CEUS at the site of implantation. Moreover, prominently enhanced signal was detected inside the mass, with or without peritrophoblastic ring. No enhancement was detected in clots or masses after effective treatment.
CEUS can be used as a supplementary method to diagnose scar pregnancy and evaluate the treatment efficacy, especially in cases with ambiguous results by TVS.
•CEUS was performed in three patients with inconclusive diagnosis by conventional ultrasound.•CEUS showed early enhancement with high intensity at implantation site following injection of contrast agent.•CEUS can be used to diagnose scar pregnancy and evaluate treatment efficacy |
| doi_str_mv | 10.1016/j.cca.2019.06.002 |
| format | Article |
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CEUS was performed in three patients with clinically suspected abnormal pregnancy, and the diagnosis were inconclusive by TVS. Clinical manifestations and features of TVS and CEUS in these cases were analyzed.
Three cases included an intramural pregnancy (IMP) after hysteromyomectomy, and two mass-based cesarean scar pregnancy (CSP), the mass was caused by curettage and spontaneous abortion, respectively. In all these cases, early enhancement with high intensity was observed by CEUS at the site of implantation. Moreover, prominently enhanced signal was detected inside the mass, with or without peritrophoblastic ring. No enhancement was detected in clots or masses after effective treatment.
CEUS can be used as a supplementary method to diagnose scar pregnancy and evaluate the treatment efficacy, especially in cases with ambiguous results by TVS.
•CEUS was performed in three patients with inconclusive diagnosis by conventional ultrasound.•CEUS showed early enhancement with high intensity at implantation site following injection of contrast agent.•CEUS can be used to diagnose scar pregnancy and evaluate treatment efficacy</description><identifier>ISSN: 0009-8981</identifier><identifier>EISSN: 1873-3492</identifier><identifier>DOI: 10.1016/j.cca.2019.06.002</identifier><identifier>PMID: 31173731</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Cesarean section ; Cicatrix - complications ; Contrast Media ; Contrast-enhanced ultrasound (CEUS) ; Diagnostic Errors ; Ectopic pregnancy ; Feasibility Studies ; Female ; Humans ; Pregnancy ; Pregnancy, Ectopic - diagnostic imaging ; Scar pregnancy ; Transvaginal ultrasound (TVS) ; Ultrasonography</subject><ispartof>Clinica chimica acta, 2019-09, Vol.496, p.134-139</ispartof><rights>2019 Elsevier B.V.</rights><rights>Copyright © 2019 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-3696e784fff750b2572aad7dd359a474f332fe01e3c7d0c87a8d4545523619f33</citedby><cites>FETCH-LOGICAL-c353t-3696e784fff750b2572aad7dd359a474f332fe01e3c7d0c87a8d4545523619f33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.cca.2019.06.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31173731$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Dongmei</creatorcontrib><creatorcontrib>Gu, Xiaoning</creatorcontrib><creatorcontrib>Liu, Fang</creatorcontrib><creatorcontrib>Shi, Fuwen</creatorcontrib><creatorcontrib>Yang, Min</creatorcontrib><creatorcontrib>Wu, Qingqing</creatorcontrib><title>Application of contrast-enhanced ultrasound for scar pregnancy cases misdiagnosed as other diseases</title><title>Clinica chimica acta</title><addtitle>Clin Chim Acta</addtitle><description>To demonstrate the feasibility of utilizing contrast-enhanced ultrasound (CEUS) in scar pregnancies misdiagnosed by transvaginal ultrasound (TVS).
CEUS was performed in three patients with clinically suspected abnormal pregnancy, and the diagnosis were inconclusive by TVS. Clinical manifestations and features of TVS and CEUS in these cases were analyzed.
Three cases included an intramural pregnancy (IMP) after hysteromyomectomy, and two mass-based cesarean scar pregnancy (CSP), the mass was caused by curettage and spontaneous abortion, respectively. In all these cases, early enhancement with high intensity was observed by CEUS at the site of implantation. Moreover, prominently enhanced signal was detected inside the mass, with or without peritrophoblastic ring. No enhancement was detected in clots or masses after effective treatment.
CEUS can be used as a supplementary method to diagnose scar pregnancy and evaluate the treatment efficacy, especially in cases with ambiguous results by TVS.
•CEUS was performed in three patients with inconclusive diagnosis by conventional ultrasound.•CEUS showed early enhancement with high intensity at implantation site following injection of contrast agent.•CEUS can be used to diagnose scar pregnancy and evaluate treatment efficacy</description><subject>Adult</subject><subject>Cesarean section</subject><subject>Cicatrix - complications</subject><subject>Contrast Media</subject><subject>Contrast-enhanced ultrasound (CEUS)</subject><subject>Diagnostic Errors</subject><subject>Ectopic pregnancy</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Pregnancy</subject><subject>Pregnancy, Ectopic - diagnostic imaging</subject><subject>Scar pregnancy</subject><subject>Transvaginal ultrasound (TVS)</subject><subject>Ultrasonography</subject><issn>0009-8981</issn><issn>1873-3492</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMlOwzAQhi0EomV5AC7IRy4JXpI4EaeqYpOQuMDZcu1x6yqNg50g9e1x1MKR08jzL_J8CN1QklNCq_ttrrXKGaFNTqqcEHaC5rQWPONFw07RnBDSZHVT0xm6iHGbngWp6DmacUoFF5zOkV70feu0GpzvsLdY-24IKg4ZdBvVaTB4bKeFHzuDrQ84ahVwH2DdJXmPtYoQ8c5F49S68zEFVMR-2EDAxkWY5Ct0ZlUb4fo4L9Hn0-PH8iV7e39-XS7eMs1LPmS8aioQdWGtFSVZsVIwpYwwhpeNKkRhOWcWCAWuhSG6Fqo2RVmUJeMVbZJ6ie4OvX3wXyPEQaZ_aWhb1YEfo2SsKKt0d02TlR6sOvgYA1jZB7dTYS8pkRNbuZWJrZzYSlLJxDZlbo_142oH5i_xCzMZHg4GSEd-OwgyagcTRBdAD9J490_9D-MdioM</recordid><startdate>201909</startdate><enddate>201909</enddate><creator>Liu, Dongmei</creator><creator>Gu, Xiaoning</creator><creator>Liu, Fang</creator><creator>Shi, Fuwen</creator><creator>Yang, Min</creator><creator>Wu, Qingqing</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201909</creationdate><title>Application of contrast-enhanced ultrasound for scar pregnancy cases misdiagnosed as other diseases</title><author>Liu, Dongmei ; Gu, Xiaoning ; Liu, Fang ; Shi, Fuwen ; Yang, Min ; Wu, Qingqing</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-3696e784fff750b2572aad7dd359a474f332fe01e3c7d0c87a8d4545523619f33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Cesarean section</topic><topic>Cicatrix - complications</topic><topic>Contrast Media</topic><topic>Contrast-enhanced ultrasound (CEUS)</topic><topic>Diagnostic Errors</topic><topic>Ectopic pregnancy</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Pregnancy</topic><topic>Pregnancy, Ectopic - diagnostic imaging</topic><topic>Scar pregnancy</topic><topic>Transvaginal ultrasound (TVS)</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Dongmei</creatorcontrib><creatorcontrib>Gu, Xiaoning</creatorcontrib><creatorcontrib>Liu, Fang</creatorcontrib><creatorcontrib>Shi, Fuwen</creatorcontrib><creatorcontrib>Yang, Min</creatorcontrib><creatorcontrib>Wu, Qingqing</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinica chimica acta</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Dongmei</au><au>Gu, Xiaoning</au><au>Liu, Fang</au><au>Shi, Fuwen</au><au>Yang, Min</au><au>Wu, Qingqing</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Application of contrast-enhanced ultrasound for scar pregnancy cases misdiagnosed as other diseases</atitle><jtitle>Clinica chimica acta</jtitle><addtitle>Clin Chim Acta</addtitle><date>2019-09</date><risdate>2019</risdate><volume>496</volume><spage>134</spage><epage>139</epage><pages>134-139</pages><issn>0009-8981</issn><eissn>1873-3492</eissn><abstract>To demonstrate the feasibility of utilizing contrast-enhanced ultrasound (CEUS) in scar pregnancies misdiagnosed by transvaginal ultrasound (TVS).
CEUS was performed in three patients with clinically suspected abnormal pregnancy, and the diagnosis were inconclusive by TVS. Clinical manifestations and features of TVS and CEUS in these cases were analyzed.
Three cases included an intramural pregnancy (IMP) after hysteromyomectomy, and two mass-based cesarean scar pregnancy (CSP), the mass was caused by curettage and spontaneous abortion, respectively. In all these cases, early enhancement with high intensity was observed by CEUS at the site of implantation. Moreover, prominently enhanced signal was detected inside the mass, with or without peritrophoblastic ring. No enhancement was detected in clots or masses after effective treatment.
CEUS can be used as a supplementary method to diagnose scar pregnancy and evaluate the treatment efficacy, especially in cases with ambiguous results by TVS.
•CEUS was performed in three patients with inconclusive diagnosis by conventional ultrasound.•CEUS showed early enhancement with high intensity at implantation site following injection of contrast agent.•CEUS can be used to diagnose scar pregnancy and evaluate treatment efficacy</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>31173731</pmid><doi>10.1016/j.cca.2019.06.002</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Cesarean section Cicatrix - complications Contrast Media Contrast-enhanced ultrasound (CEUS) Diagnostic Errors Ectopic pregnancy Feasibility Studies Female Humans Pregnancy Pregnancy, Ectopic - diagnostic imaging Scar pregnancy Transvaginal ultrasound (TVS) Ultrasonography |
| title | Application of contrast-enhanced ultrasound for scar pregnancy cases misdiagnosed as other diseases |
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