Look at the lung: can chest ultrasonography be useful in pregnancy?

  • Riccardo Inchingolo Pulmonary Medicine Department, University Hospital “A. Gemelli”, Rome, Italy.
  • Andrea Smargiassi | smargiassi.a@gmail.com Pulmonary Medicine Department, University Hospital “A. Gemelli”, Rome; Pulmonary Medicine Department, Università Cattolica del Sacro Cuore, Rome, Italy.
  • Flaminio Mormile Pulmonary Medicine Department, University Hospital “A. Gemelli”, Rome, Italy.
  • Roberta Marra Pulmonary Medicine Department, University Hospital “A. Gemelli”, Rome, Italy.
  • Sara De Carolis Obstetric Pathology Department, University Hospital “A. Gemelli”, Rome, Italy.
  • Antonio Lanzone Obstetric Pathology Department, University Hospital “A. Gemelli”, Rome, Italy.
  • Salvatore Valente Pulmonary Medicine Department, University Hospital “A. Gemelli”, Rome, Italy.
  • Giuseppe M. Corbo Pulmonary Medicine Department, University Hospital “A. Gemelli”, Rome, Italy.

Abstract

Background: This study aimed to evaluate the clinical value of chest ultrasound (US) in the detection, diagnosis and follow-up of pathologic processes of both peripheral lung parenchyma and pleural space in pregnant women.

Findings: Pregnant women admitted to Obstetric Pathology Hospital Department for respiratory diseases were enrolled. Chest US examination was performed when there was a respiratory disease highly suggestive of pneumonia and/or pleural effusion and chest X-ray (CXR) should have been obtained. Three chest US patterns were identified: lung consolidation (LC), pleural effusion (PE) and focal sonographic interstitial syndromes (SIS). When chest US pathologic signs were reported, one or more subsequent chest US examinations were performed to follow-up the patient until their complete resolution. Sixteen inpatients underwent 54 chest US evaluations. We identified: 9 LCs, 6 PEs and 11 SISs. Total number of CXRs was 7 (10 females avoided X-rays exposure and one underwent 2 CXR evaluations on the advice of Gynecologist). Chest US follow-up, during and after therapy, showed complete resolution of echographic patterns previously described.

Conclusions: Chest US evaluation during pregnancy is a useful diagnostic tool to detect and monitor respiratory diseases, avoiding excessive X-rays exposure.

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Published
2014-06-06
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Section
Short Reports
Keywords:
Chest ultrasound, Pregnancy, Thoracic imaging, Pneumonia, Pleural disease, Pregnancy, Thoracic imaging
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How to Cite
Inchingolo, R., Smargiassi, A., Mormile, F., Marra, R., De Carolis, S., Lanzone, A., Valente, S., & Corbo, G. M. (2014). Look at the lung: can chest ultrasonography be useful in pregnancy?. Multidisciplinary Respiratory Medicine, 9(1). https://doi.org/10.4081/mrm.2014.402