Title

The Endomyometrial Thickness Measurement for Abnormal Implantation Evaluation by Pelvic Sonography

Publication Date

2014

Journal Title

J Ultrasound Med

Abstract

Emergency physicians, obstetrician-gynecologists, and other medical specialists use pelvic sonography when caring for patients presenting with early pregnancy-related symptoms. A thin endomyometrial mantle and eccentric placement of a gestational sac should raise the suspicion for an abnormally implanted pregnancy. In such cases, an interstitial ectopic pregnancy or a cornual pregnancy, two clinically distinct entities, must be considered. This article reviews the literature and guidelines on the sonographic measurement of the endomyometrial mantle as a criterion for determining a pregnancy at risk for an abnormal implantation location. We sought to clarify the history and evolution of this measurement to determine what should be considered an abnormal measurement and to understand its diagnostic utility and management implications for the clinician using sonography.

Volume Number

33

Issue Number

7

Pages

1143-1146

Document Type

Article

EPub Date

2014/06/25

Status

Northwell Researcher

Facility

Northwell Health

Primary Department

Emergency Medicine

PMID

24958399

DOI

10.7863/ultra.33.7.1143