Complete miscarriage
Citation, DOI, disclosures and article data
At the time the article was created The Radswiki had no recorded disclosures.
View The Radswiki's current disclosuresAt the time the article was last revised Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosuresA complete miscarriage is defined as a cessation of vaginal bleeding with no evidence of retained products of conception or a gestation sac in a woman who previously had an ultrasound confirmed intrauterine pregnancy.
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Radiographic features
Ultrasound
Shows an empty uterus with no fetal components or products of conception.
Differential diagnosis
In the setting of a positive bHCG, the differential for an empty uterus is:
- complete miscarriage
- ectopic pregnancy
- pregnancy too early to be detected
- pregnancy of unknown location
The diagnosis of a complete miscarriage can be confidently made only if there is a documented intrauterine pregnancy. If there had been no prior ultrasound of this pregnancy, the situation is referred to as pregnancy of unknown location and followed up accordingly.
Management
Once complete miscarriage is confirmed, no active management is required unless there is prolonged bleeding for greater than four weeks.
References
- 1. Jurkovic D, Valentin L, Vyas S. Gynaecological Ultrasound in Clinical Practice, Ultrasound Imaging in the Management of Gynaecological Conditions. RCOG Press. (2009) ISBN:1904752292. Read it at Google Books - Find it at Amazon
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