Failed early pregnancy

Case contributed by Dr Bruno Di Muzio

Presentation

12 weeks gestation; bleeding episodically; previous ultrasound 4 weeks ago normal and compatible with LMP.

Patient Data

Gender: Female
Modality: Ultrasound

Fetal size and age corresponding to estimated gestational age based on early ultrasound but absence of cardiac activity noted.

Case Discussion

First-trimester bleeding complicates nearly 25% of all pregnancies, about half of which end in spontaneous miscarriage.

Lack of cardiac activity with CRL of 7mm or absent fetal pole with mean sac diameter greater than 25 mm at endovaginal examination is indicative of failed early pregnancy.

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Case Information

rID: 10330
Case created: 5th Aug 2010
Last edited: 12th Jun 2016
System: Obstetrics
Inclusion in quiz mode: Included

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