Australasian journal of ultrasound in medicine · 2025
A Second Trimester Abdominal Ectopic Pregnancy Visualised Using Standard and Handheld Point-of-Care Ultrasound: A Case Report.
СтатьяНазвание и аннотация: Перевод в очереди
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Cooper Nina, Novak Alex, Gould Georgina, Haran Shaun, Tuomey Maeve, Al-Memar Maya, Stalder Catriona, Bourne Tom, Yazbek Joseph
Аннотация
BACKGROUND: A 27-year-old nulliparous woman with a history of subfertility presented to a routine dating scan at 13 + 1 weeks gestation with a history of left-sided abdominal pain.
KEY FINDINGS: Both standard transabdominal ultrasound and handheld point-of-care ultrasound (POCUS) identified a probable abdominal ectopic pregnancy (AEP), confirmed by MRI. Intraoperative findings revealed a live pregnancy encapsulated by the omentum with associated haemoperitoneum. Active haemorrhage necessitated conversion from laparoscopy to laparotomy, culminating in a left salpingo-oophorectomy.
DISCUSSION: This case highlights the potential role of handheld POCUS in diagnosing a rare and life-threatening condition. The device enabled immediate, bedside imaging and facilitated rapid decision-making. To our knowledge, this is the first documented case of an abdominal ectopic pregnancy diagnosed using handheld POCUS, emphasising its potential to improve maternal outcomes through early detection and intervention.
KEY FINDINGS: Both standard transabdominal ultrasound and handheld point-of-care ultrasound (POCUS) identified a probable abdominal ectopic pregnancy (AEP), confirmed by MRI. Intraoperative findings revealed a live pregnancy encapsulated by the omentum with associated haemoperitoneum. Active haemorrhage necessitated conversion from laparoscopy to laparotomy, culminating in a left salpingo-oophorectomy.
DISCUSSION: This case highlights the potential role of handheld POCUS in diagnosing a rare and life-threatening condition. The device enabled immediate, bedside imaging and facilitated rapid decision-making. To our knowledge, this is the first documented case of an abdominal ectopic pregnancy diagnosed using handheld POCUS, emphasising its potential to improve maternal outcomes through early detection and intervention.