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CASE REVIEW
Obstetric and Gynecologic Ultrasound
THIRD EDITION
Series Editor
David M. Yousem, MD, MBA
Professor of Radiology
Director of Neuroradiology
Russell H. Morgan Department of Radiology and Radiological Science
The Johns Hopkins Medical Institutions
Baltimore, Maryland
Other Volumes in the CASE REVIEW Series
Brain Imaging, Second Edition
Breast Imaging, Second Edition
Cardiac Imaging
Duke Review of MRI Principles
Emergency Radiology
Gastrointestinal Imaging, Third Edition
General and Vascular Ultrasound, Second Edition
Genitourinary Imaging, Second Edition
Musculoskeletal Imaging, Second Edition
Nuclear Medicine, Second Edition
Pediatric Imaging, Second Edition
Spine Imaging, Second Edition
Thoracic Imaging, Second Edition
Vascular and Interventional Imaging
Karen L. Reuter, MD, FACR
Professor of Radiology
Tufts University School of Medicine
Section Head
Lahey Clinic Medical Center
Burlington, Massachusetts
John P. McGahan, MD, FACR
Professor and Vice Chair of Academic Affairs
Director of Abdominal Imaging
University of California, Davis Health System
Sacramento, California
C A S E R E V I E W
Obstetric and
Gynecologic
Ultrasound
THIRD EDITION
C A S E R E V I E W S E R I E S
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
OBSTETRIC AND GYNECOLOGIC ULTRASOUND:
CASE REVIEW, THIRD EDITION ISBN: 978-1-4557-4375-9
Copyright © 2013 by Saunders, an imprint of Elsevier Inc.
Copyright © 2007, 2001 by Mosby, an afliate of Elsevier Inc.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Knowledge and best practice in this eld are constantly changing. As new research and experience
broaden our understanding, changes in research methods, professional practices, or medical treatment
may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such
information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identied, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each
product to be administered, to verify the recommended dose or formula, the method and duration
of administration, and contraindications. It is the responsibility of practitioners, relying on their own
experience and knowledge of their patients, to make diagnoses, to determine dosages and the best
treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors,
assume any liability for any injury and/or damage to persons or property as a matter of products
liability, negligence or otherwise, or from any use or operation of any methods, products, instructions,
or ideas contained in the material herein.
Library of Congress Cataloging-in-Publication Data
Reuter, Karen L.
Obstetric and gynecologic ultrasound : case review/Karen L. Reuter, John P. McGahan. -- 3rd ed.
p. ; cm. -- (Case review series)
Rev. ed. of: Case review. 2nd ed. c2007.
Includes bibliographical references and indexes.
ISBN 978-1-4557-4375-9 (pbk. : alk. paper)
I. McGahan, John P. II. Reuter, Karen L. Case review. III. Title. IV. Series: Case review series.
[DNLM: 1. Genital Diseases, Female--ultrasonography--Examination Questions. 2. Fetal Diseases-ultrasonography--Examination Questions. 3. Pregnancy Complications--ultrasonography--Examination
Questions. 4. Ultrasonography--Examination Questions. 5. Ultrasonography, Prenatal--Examination
Questions. WP 18.2]
Notices
618.107543--dc23 2012041503
Content Strategist: Don Scholz
Content Development Specialist: Gina Donato
Publishing Services Manager: Patricia Tannian
Design Direction: Steven Stave
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To the radiology residents and all those
who participate in the obstetric and
gynecologic care of women
SERIES FOREWORD
I have been very gratied by the popularity and positive feedback that the authors of the Case Review
series have received on the publication of the multiple editions of their volumes. While some are still in
rst editions, others have third editions printed and fourth editions in the works. This speaks to the high
quality of the authors and the material they have at their disposal. At the same time, the online versions
available at https://casereviewsonline.com/ offer new capabilities and interaction and self-guided learning
that print editions cannot provide.
David M. Yousem, MD, MBA
viii
I congratulate Dr. Karen Reuter for spearheading the third edition of the Obstetric and Gynecologic Ultrasound:
Case Review Series and for pulling in the experience of Dr. John McGahan, a noted educator and outstand-
ing academician. I am happy to see the life span of this volume continue to grow in new ways with new
technologies and new entities. I am sure that trainees and practicing radiologists will appreciate this contribution, as I do, to the Case Review Series. Bravo Karen and John!
David M. Yousem, MD, MBA
BOOK FOREWORD
ix