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A large unruptured ectopic pregnancy.

MedStar author(s):

Citation: Radiology Case Reports. 16(5):1204-1206, 2021 May.PMID: 33815642Institution: MedStar Harbor Hospital | MedStar Union Memorial HospitalDepartment: Internal Medicine ResidencyForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2021 ISSN:

1930-0433

Name of journal: Radiology case reportsAbstract: Ectopic pregnancy carries a significant mortality risk in the first trimester given the increased likelihood of rupture of large embryos. In this report, an otherwise asymptomatic woman presented with amenorrhea and a positive urine pregnancy test. Results included an elevated beta-human chorionic gonadotropin (B-hCG) of 39,947 IU/L and Transvaginal ultrasound suggestive of a 3.9 cm unruptured fallopian tube ectopic pregnancy. She underwent emergent salpingectomy without complications, confirming a 10 week, 6 days gestational age pregnancy. This exceptional case of an unruptured ectopic with crown rump length (CRL) above 2 cm illustrates the importance of early diagnosis due to the often unremarkable presentation. Copyright (c) 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.All authors: Haas CJ, Haddaden M, Maharaj A, Muzzi K, Paudel KFiscal year: FY2021Digital Object Identifier:

https://dx.doi.org/10.1016/j.radcr.2021.02.048xl - https://dx.doi.org/10.1016/j.radcr.2021.02.048

Date added to catalog: 2021-06-07

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Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	33815642	Available		33815642

Ectopic pregnancy carries a significant mortality risk in the first trimester given the increased likelihood of rupture of large embryos. In this report, an otherwise asymptomatic woman presented with amenorrhea and a positive urine pregnancy test. Results included an elevated beta-human chorionic gonadotropin (B-hCG) of 39,947 IU/L and Transvaginal ultrasound suggestive of a 3.9 cm unruptured fallopian tube ectopic pregnancy. She underwent emergent salpingectomy without complications, confirming a 10 week, 6 days gestational age pregnancy. This exceptional case of an unruptured ectopic with crown rump length (CRL) above 2 cm illustrates the importance of early diagnosis due to the often unremarkable presentation. Copyright (c) 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

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