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OBGYN - Stephen Ledbetter, MD, MPH*

1. Uterine trauma

2. Cervico-vaginal trauma 

3. Feto-placental trauma

4. Ovarian cystic disease

5. Ovarian torsion

6. Pelvic inflammatory disease

7. Endometritis

8. Spontaneous abortion 

9. Fetal demise

10. Subchorionic hemorrhage

11. Ectopic pregnancy (Case 1) (Case 2) (Case 3)

12. Placenta previa

13. Placental abruption and hemorrhage

14. Biophysical Profile (Case 1) (Case 2) (Case 3)

Credits:

AUTHOR: STEPHEN LEDBETTER, MD, MPH*
CASE ILLUSTRATION EDITOR: NICOLA REFKY, DO

*Fellow of the American Society of Emergency Radiology (FASER)

Suggested Readings:

Rumack CM, Wilson SR, Charboneau JW: Diagnostic Ultrasound 2 nd Edition. Mosby-yearbood, St. Louis, Missouri,1998

Callen, PW: Ultrasonography in Obstetrics and Gynecology 3 rd Edition. WB Saunders, Philadelphia, PA, 1994.

Abu-Yousef MM, Bleicher JJ, Williamson RA, Weiner CP. Subchorionic hemorrhage: sonographic diagnosis and clinical significance. AJR Am J Roentgenol. 1987 Oct;149(4):737-40.

Baltarowich OH, Kurtz AB, Pasto ME, Rifkin MD, Needleman L, Goldberg BB. The spectrum of sonographic findings in hemorrhagic ovarian cysts. AJR Am J Roentgenol. 1987 May;148(5):901-5.

Bromley B, Benacerraf B. Adnexal masses during pregnancy: accuracy of sonographic diagnosis and outcome. J Ultrasound Med. 1997 Jul;16(7):447-52.

Chow MM, Ho ES, Lee YH. Prenatal diagnosis of placenta previa accreta by transabdominal color Doppler ultrasound. Ultrasound Obstet Gynecol. 2000 Jan;15(1):28-35.

Estroff JA. Emergency obstetric and gynecologic ultrasound. Radiol Clin North Am. 1997 Jul;35(4):921-57.

Finberg HJ, Kurtz AB, Johnson RL, Wapner RJ. The biophysical profile. A literature review and reassessments of its usefulness in the evaluation of fetal well-being. J Ultrasound Med. 1990 Oct;9(10):583-91.

Gallagher P, Fagan CJ, Bedi DG, Winsett MZ, Reyes RN. Potential placenta previa: definition, frequency, and significance. AJR Am J Roentgenol. 1987 Nov;149(5):1013-5.

Hertzberg BS, Bowie JD, Carroll BA, Kliewer MA, Weber TM. Diagnosis of placenta previa during the third trimester: role of transperineal sonography. AJR Am J Roentgenol. 1992 Jul;159(1):83-7.

Hertzberg BS, Kliewer MA, Bowie JD. Adnexal ring sign and hemoperitoneum caused by hemorrhagic ovarian cyst: pitfall in the sonographic diagnosis of ectopic pregnancy. AJR Am J Roentgenol. 1999 Nov;173(5):1301-2.

Kaakaji Y, Nghiem HV, Nodell C, Winter TC. Sonography of obstetric and gynecologic emergencies: Part I, Obstetric emergencies. AJR Am J Roentgenol. 2000 Mar;174(3):641-9.

Kaakaji Y, Nghiem HV, Nodell C, Winter TC. Sonography of obstetric and gynecologic emergencies: Part II, Gynecologic emergencies. AJR Am J Roentgenol. 2000 Mar;174(3):651-6.

Kory LA. Diagnosis of ectopic pregnancy. AJR Am J Roentgenol. 2000 Oct;175(4):1185-6.

Laing, FC. Placenta previa: avoiding false-negative diagnoses. J Clin Ultrasound. 1981 Mar;9(3):109-13.

Lee EJ, Kwon HC, Joo HJ, Suh JH, Fleischer AC. Diagnosis of ovarian torsion with color Doppler sonography: depiction of twisted vascular pedicle. J Ultrasound Med. 1998 Feb;17(2):83-9.

Lowdermilk C, Gavant ML, Qaisi W, West OC, Goldman SM. Screening helical CT for evaluation of blunt traumatic injury in the pregnant patient. Radiographics. 1999 Oct;19 Spec No:S243-55; discussion S256-8.

Manning FA. Fetal biophysical profile. Obstet Gynecol Clin North Am. 1999 Dec;26(4):557-77.

Manning FA, Bondagji N, Harman CR, Casiro O, Menticoglou S, Morrison I. Fetal assessment based on the fetal biophysical profile score: relationship of last BPS result to subsequent cerebral palsy. J Gynecol Obstet Biol Reprod (Paris). 1997;26(7):720-9.

Moore L, Wilson SR. Ultrasonography in obstetric and gynecologic emergencies. Radiol Clin North Am. 1994 Sep;32(5):1005-22.

Wagner BJ, Woodward PJ, Dickey GE. From the archives of the AFIP. Gestational trophoblastic disease: radiologic-pathologic correlation. Radiographics. 1996 Jan;16(1):131-48.

Wolman I, Gordon D, Yaron Y, Kupferminc M, Lessing JB, Jaffa AJ. Transvaginal sonohysterography for the evaluation and treatment of retained products of conception. Gynecol Obstet Invest. 2000;50(2):73-6.


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