Abstract

The analysis of ultrasound elastography and three-dimensional (3D) ultrasound imaging of suspected pregnancy in the interstitial part of the fallopian tube in three patients is presented. The following diagnoses were confirmed: interstitial pregnancy; first identified myomatous node with impaired trophism in the interstitial part of the fallopian tube in combination with menstrual disorders; incomplete miscarriage combined with a presence of myomatous node in the interstitial part of the fallopian tube simulating ectopic nidation. According to elastography, both the fertilized egg and myomatous nodes in the interstitial part of the fallopian tube appeared as stiff relative to the myometrium with clearly visualized contours. Three-dimensional ultrasound imaging with modalities including multiplanar reconstruction, tomography, omni-view, and “niche” contributed to verifying the diagnosis. Laparoscopy was performed in all patients. Interstitial pregnancy and incomplete miscarriage were histologically confirmed. Key words: compression elastography, ectopic pregnancy, pregnancy in the interstitial part of the fallopian tube, elastographic patterns, three-dimensional ultrasound imaging, ultrasound elastography

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