Failed early pregnancy

Case contributed by Dr Bruno Di Muzio


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

Patient Data

Age: 35 years
Gender: Female

Transvaginal ultrasound

Fetal size and age corresponding to estimated gestational age based on early ultrasound but the 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 more or absent fetal pole with mean sac diameter greater than 25 mm at an endovaginal US examination are indicative of failed early pregnancy.

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Case information

rID: 10330
Case created: 5th Aug 2010
Last edited: 24th Sep 2017
System: Obstetrics
Inclusion in quiz mode: Included

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